Korean J Leg Med.
2010 Nov;34(2):133-135.
Fatal Pulmonary Thromboembolism Following Cast Immobilization of Fibular Shaft Fracture
- Affiliations
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- 1Department of the Forensic Medicine, Chonnam National University Medical School, Gwang-ju, Korea. jtpark@jnu.ac.kr
- 2Research Institute of Forensic Science, Chonnam National University Medical School, Gwang-ju, Korea.
- 3Department of Pathology, Saint Carollo Hospital, Sun-Cheon, Chonnam, Korea.
Abstract
- Pulmonary thromboembolism (PTE) is one of the most common and dangerous complications in orthopedic surgery. We experienced a fatal PTE in a 29-year-old man who had a simple fibular shaft fracture and cast immobilization for about one month. Despite simple fibular shaft fracture in patient with low risk for venous thromboembolism (VTE), a terrible outcome occurred. During immobilization, thromboprophylaxis such as low molecular weight heparin should be always considered. We report a rare case of PTE after simple fibular shaft fracture.
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