TY - JOUR TT - Early Stage Pulmonary Embolism Because of Stab Wound Injury Without Vascular Penetration AU - Petekkaya, Semih AU - Ayaz, Nusret AU - Doğan, Mustafa AU - Oruç, Mücahit AU - Okdemir, Erdem AU - Celbis, Osman PY - 2017 DA - October JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 76 EP - 79 VL - 8 IS - 4 N2 - Introduction: Pulmonary embolism, occurring as a result of acute obstruction of the pulmonary artery system, may vary from the frequently observed asymptomatic clinical state to sudden death and is a disease with high morbidity and mortality rates. Pulmonary embolism is most commonly observed within 5–7 days of trauma and has been occasionally reported before 4 days. Case Report: A 40-years-old female was admitted to emergency service with a knife wound injury. Her vital and laboratory values were normal. Physical examination revealed a knife wound injury, measuring 2 x 1 cm, on the femoral midline of the left leg. Then, she was discharged. After approximately 6 h, she presented to another emergency service with complaints of chest pain and syncope. During evaluation, she developed cardiopulmonary arrest and died because of pulmonary embolism.Conclusion: This report presents a case of early stage pulmonary embolism that developed because of circulation disruption caused by the effect of pressure as a result of a localized hematoma owing to an indirect effect of a stab wound injury with no vascular penetration injury CR - Tanrıverdi MH, Abakay A. Acute pulmonary embolism. J Göztepe Med 2012; 27: 30-6. [CrossRef ] CR - Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P, et al. Thrombolysis during cardiopulmonary resuscitation should be ad- dressed in guidelines for pulmonary embolism. Eur Heart J 2008; 29: 2276-315. [CrossRef ] CR - Ro A, Kageyama N, Tanifuji T, Fukunaga T. Pulmonary thromboembo- lism: overview and update from medicolegal aspects. Leg Med 2008; 10: 57-71. [CrossRef ] CR - Lucena J, Rico A, Vázquez R, Marín R, Martínez C, Salguero M, et al. Pul- monary embolism and sudden-unexpected death: prospective study on 2477 forensic autopsies performed at the Institute of Legal Medicine in Seville. J Forensic Leg Med 2009; 16: 196-201. [CrossRef ] CR - Ünlüer EE, Denizbaşı A. Management and treatment of pulmonary em- bolism. J Res Dis 2002; 13: 67-72. CR - Anderson FA, Spencer FA. Risk factors for venous thromboembolism. Circulation 2003; 107: 9-16. CR - Spencer Netto F, Tien H, Ng J, Ortega S, Scarpelini S, Rizoli SB, et al. Pul- monary emboli after blunt trauma: timing, clinical characteristics and natural history. Injury 2012; 43: 1502-6. [CrossRef ] CR - Paffrath T, Wafaisade A, Lefering R, Simanski C, Bouillon B, Spanholtz T, et al. Trauma Registry of DGU. Venous thromboembolism after severe trauma: incidence, risk factors and outcome. Injury 2010; 41: 97-101. [CrossRef] CR - Menaker J, Stein DM, Scalea TM. Incidence of early pulmonary embo- lism after injury. J Trauma 2007; 63: 620-4. [CrossRef ] CR - Kalcioglu MT, Celbis O, Mizrak B, Firat Y, Selimoglu E. Traumatic throm- bosis of internal carotid artery sustained by transfer of kinetic energy. Am J Forensic Med Pathol 20012; 33: 179-80. UR - https://dergipark.org.tr/tr/pub/jemcr/issue//536566 L1 - https://dergipark.org.tr/tr/download/article-file/664958 ER -