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- Colon and Rectal Surgery
- General Surgery
- Gynecologic Oncology
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- Neurological Surgery
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
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- Surgical Intensivists, Specializing In Critical Care Patients
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Abstract
Citation: World J Surg Surg Res. 2023;6(1):1457.DOI: 10.25107/2637-4625.1457
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
PDF Full Text Case Report | Open Access
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
Cite the Article:
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..
Journal Basic Info
- Impact Factor: 2.466**
- H-Index: 6
- ISSN: 2637-4625
- DOI: 10.25107/2637-4625