World J Surg Surg Res | Volume 6, Issue 1 | Case Report | Open Access

Early Severe Pulmonary Embolism in a Severe Traumatic Brain Injury: A Case Report

Bouzekraoui I^*, Dahbi Y, El Fassi A, Garda Y, Doumiri M, Amor M and Maazouzi W

Department of Anesthesia and Intensive Care, Hospital of Specialties, CHU Ibn Sina, Morocco

^*Correspondance to: Ismail Bouzekraoui 

Abstract

Pulmonary embolism is a serious and often fatal complication. Its clinical diagnosis is difficult, especially in the early phase of a severe head injury. Given the restrictions on the use of thrombolytics and mechanical thrombectomy that can increase intracranial bleeding, management is often difficult. We report the case of a 30-year-old man with a severe head injury with a lesion assessment in favor of cerebral edema and a right frontoparietal extradural hematoma who presented at day 2 a proximal right pulmonary embolism for which he received unfractionated heparin with a good evolution without worsening of the hematoma size. The introduction of anticoagulants, even at a curative dose if absolutely necessary, in the acute phase may not have a clinical impact on the occurrence of bleeding complications as in our patient.

Keywords:

Severe pulmonary embolism; Severe head trauma; Intracerebral hematoma; Anticoagulation

Citation:

Bouzekraoui I, Dahbi Y, El Fassi A, Garda Y, Doumiri M, Amor M, et al. Early Severe Pulmonary Embolism in a Severe Traumatic Brain Injury: A Case Report. World J Surg Surgical Res. 2023; 6: 1457..