Neglected pulmonary thromboembolism in a traumatic anterior hip dislocation: A case report

Luca Amendola; Paolo Emilio Orlandi; Domenico Tigani

doi:10.1016/j.jcot.2019.02.005

Neglected pulmonary thromboembolism in a traumatic anterior hip dislocation: A case report

J Clin Orthop Trauma. 2019 Oct;10(Suppl 1):S197-S200. doi: 10.1016/j.jcot.2019.02.005. Epub 2019 Feb 8.

Authors

Luca Amendola¹, Paolo Emilio Orlandi², Domenico Tigani¹

Affiliations

¹ Department of Orthopaedic and Trauma Surgery, Ospedale Maggiore, Largo Nigrisoli 2, Bologna, Italy.
² Department of Radiology, Ospedale Maggiore, Largo Nigrisoli 2, Bologna, Italy.

Abstract

We report the case of treatment delay for an early onset of pulmonary embolism due to thrombosis in the femoral vein occurred in a traumatic anterior hip dislocation. Mistakes interpretations of clinical findings and pre-operative chest CT-angiography has endangered our patient's life because of the medical report was focused only on acute traumatic injuries. After all, we were not able to find in the literature any similar report that could explain the pathogenesis of this early onset and help us in the patient management. We have tried to list a number of practical suggestions to use in emergency room in these situations.

Keywords: Femoral vein thrombosis; Pulmonary thromboembolism; Traumatic anterior hip dislocation.

Publication types

Case Reports