Pulmonary embolism in a trauma patient with liver and orthopedic injuries.
We report the case of a 41-year-old man admitted for lower limb and liver trauma following a car accident. Surgical repair of a tibial fracture was performed under general anesthesia 5 days after admission while the liver injury was managed conservatively. At the time of tourniquet inflation, the patient presented a pulmonary embolism. Low-molecular-weight heparin administration had been delayed for 72 hours after admission due to the liver injury. Risk factors for bleeding and thromboembolism in trauma patients with liver injury are discussed.
Legrain
C
C
Department of Anesthesia and Intensive Care Medicine, CHU of Liège, University of Liège, Liège, Belgium.
Hans
G A
GA
Defresne
A
A
Honore
C
C
Lewin
M
M
Kurth
W
W
Brichant
J-F
JF
D000063:Accidents, Traffic; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D035002:Lower Extremity / Q000293:injuries*; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D012307:Risk Factors; D013978:Tibial Fractures / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014111:Tourniquets
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight