Early Stage Pulmonary Embolism Because of Stab Wound Injury Without Vascular Penetration

Yıl 2017, Cilt: 8 Sayı: 4, 76 - 79, 01.10.2017

Semih Petekkaya Nusret Ayaz Mustafa Doğan Mücahit Oruç Erdem Okdemir Osman Celbis

Öz

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Anahtar Kelimeler

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Early Stage Pulmonary Embolism Because of Stab Wound Injury Without Vascular Penetration

Öz

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

Anahtar Kelimeler

Pulmonary embolism, stab wound injury, forensic case

Kaynakça

• Tanrıverdi MH, Abakay A. Acute pulmonary embolism. J Göztepe Med 2012; 27: 30-6. [CrossRef ]
• 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 ]
• Ro A, Kageyama N, Tanifuji T, Fukunaga T. Pulmonary thromboembo- lism: overview and update from medicolegal aspects. Leg Med 2008; 10: 57-71. [CrossRef ]
• 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 ]
• Ünlüer EE, Denizbaşı A. Management and treatment of pulmonary em- bolism. J Res Dis 2002; 13: 67-72.
• Anderson FA, Spencer FA. Risk factors for venous thromboembolism. Circulation 2003; 107: 9-16.
• 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 ]
• 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]
• Menaker J, Stein DM, Scalea TM. Incidence of early pulmonary embo- lism after injury. J Trauma 2007; 63: 620-4. [CrossRef ]
• 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.