Symptomatic bilateral pulmonary embolism without deep venous thrombosis in an adolescent following arthroscopic anterior cruciate ligament reconstruction: a case report and review of the literature.
Symptomatic bilateral pulmonary embolism without deep venous thrombosis in an adolescent following arthroscopic anterior cruciate ligament reconstruction: a case report and review of the literature.
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DOI：
10.1186/s13256-018-1726-8
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发表时间：
2018-07-06
影响因子：
1
通讯作者：
Phillips LA
中科院分区：
文献类型：
--
作者：
Bourget-Murray J;Clarke MA;Gorzitza S;Phillips LA
静脉血栓栓塞，特别是肺栓塞，是一种罕见的并发症后，选择性小儿骨科手术。在青少年常规前交叉韧带重建术后，从未报告过双侧肺栓塞伴肺出血/梗死，而不伴深静脉血栓形成。一名16岁的白色女孩在择期前交叉韧带重建术后6天出现急性呼吸急促和胸膜炎性胸痛。在进行全面检查后，她被诊断为双侧肺栓塞伴肺出血，无深静脉血栓形成。患者通过每日注射Lovenox（依诺肝素）进行3个月的抗凝治疗成功治疗。症状性双侧肺栓塞若能及早诊断及适当治疗，预后良好。在接受膝关节镜手术的健康青少年中，评估引发血栓栓塞事件的风险非常重要。
Venous thromboembolism, specifically pulmonary embolism, is a rare complication following elective pediatric orthopedic surgery. Bilateral pulmonary embolism with associated pulmonary hemorrhage/infarct without concomitant deep vein thrombosis has never been reported following routine anterior cruciate ligament reconstruction in an adolescent. A 16-year-old white girl presented with acute onset shortness of breath and pleuritic chest pain 6 days following elective anterior cruciate ligament reconstruction. After performing a thorough work-up, she was diagnosed as having provoked bilateral pulmonary embolism with associated pulmonary hemorrhage without concomitant deep vein thrombosis. She was treated successfully with 3 months of anticoagulation therapy with daily Lovenox (enoxaparin) injections. Symptomatic bilateral pulmonary embolism may have a good prognosis if it is diagnosed early and treated appropriately. It is important to appreciate the risk of provoked thromboembolic events in healthy adolescents undergoing arthroscopic knee surgery.