Isolated Pulmonary Embolism following Shoulder Arthroscopy
Pulmonary embolism (PE) following shoulder arthroscopy is a rare complication. We present a unique case report of a 43-year-old right-hand dominant female who developed a PE 41 days postoperatively with no associated upper or lower extremity DVT. The patient had minimal preoperative and intraoperati...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/279082 |
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| _version_ | 1832565489830723584 |
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| author | Nicole H. Goldhaber Christopher S. Lee |
| author_facet | Nicole H. Goldhaber Christopher S. Lee |
| author_sort | Nicole H. Goldhaber |
| collection | DOAJ |
| description | Pulmonary embolism (PE) following shoulder arthroscopy is a rare complication. We present a unique case report of a 43-year-old right-hand dominant female who developed a PE 41 days postoperatively with no associated upper or lower extremity DVT. The patient had minimal preoperative and intraoperative risk factors. Additionally, she had no thromboembolic symptoms postoperatively until 41 days following surgery when she developed sudden right-hand swelling, labored breathing, and abdominal pain. A stat pulmonary computed tomography (CT) angiogram of the chest revealed an acute PE in the right lower lobe, and subsequent extremity ultrasounds showed no upper or lower extremity deep vein thrombosis. After a thorough review of the literature, we present the first documented isolated PE following shoulder arthroscopy. Although rare, sudden development of an isolated PE is possible, and symptoms such as sudden hand swelling, trouble breathing, and systemic symptoms should be evaluated aggressively with a pulmonary CT angiogram given the fact that an extremity ultrasound may be negative for deep vein thrombosis. |
| format | Article |
| id | doaj-art-0f14570e0e48475484bd92bd6e1d0c06 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0f14570e0e48475484bd92bd6e1d0c062025-02-03T01:07:28ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/279082279082Isolated Pulmonary Embolism following Shoulder ArthroscopyNicole H. Goldhaber0Christopher S. Lee1Stetson Powell Orthopaedics and Sports Medicine, 191 S. Buena Vista Street, Suite 470, Burbank, CA 91505, USAStetson Powell Orthopaedics and Sports Medicine, 191 S. Buena Vista Street, Suite 470, Burbank, CA 91505, USAPulmonary embolism (PE) following shoulder arthroscopy is a rare complication. We present a unique case report of a 43-year-old right-hand dominant female who developed a PE 41 days postoperatively with no associated upper or lower extremity DVT. The patient had minimal preoperative and intraoperative risk factors. Additionally, she had no thromboembolic symptoms postoperatively until 41 days following surgery when she developed sudden right-hand swelling, labored breathing, and abdominal pain. A stat pulmonary computed tomography (CT) angiogram of the chest revealed an acute PE in the right lower lobe, and subsequent extremity ultrasounds showed no upper or lower extremity deep vein thrombosis. After a thorough review of the literature, we present the first documented isolated PE following shoulder arthroscopy. Although rare, sudden development of an isolated PE is possible, and symptoms such as sudden hand swelling, trouble breathing, and systemic symptoms should be evaluated aggressively with a pulmonary CT angiogram given the fact that an extremity ultrasound may be negative for deep vein thrombosis.http://dx.doi.org/10.1155/2014/279082 |
| spellingShingle | Nicole H. Goldhaber Christopher S. Lee Isolated Pulmonary Embolism following Shoulder Arthroscopy Case Reports in Orthopedics |
| title | Isolated Pulmonary Embolism following Shoulder Arthroscopy |
| title_full | Isolated Pulmonary Embolism following Shoulder Arthroscopy |
| title_fullStr | Isolated Pulmonary Embolism following Shoulder Arthroscopy |
| title_full_unstemmed | Isolated Pulmonary Embolism following Shoulder Arthroscopy |
| title_short | Isolated Pulmonary Embolism following Shoulder Arthroscopy |
| title_sort | isolated pulmonary embolism following shoulder arthroscopy |
| url | http://dx.doi.org/10.1155/2014/279082 |
| work_keys_str_mv | AT nicolehgoldhaber isolatedpulmonaryembolismfollowingshoulderarthroscopy AT christopherslee isolatedpulmonaryembolismfollowingshoulderarthroscopy |