Lethal pulmonary thromboembolism misdiagnosed as pneumonia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 211-216, 2009.
Article
in Korean
| WPRIM
| ID: wpr-146827
ABSTRACT
Although pulmonary thromboembolism (PTE) is not rare, unfortunately for anesthesiologists, the signs and symptoms of PTE are unreliable and nonspecific. PTE is a potentially lethal condition without an accurate diagnosis and prompt treatment. We report a case of PTE misdiagnosed as simple pneumonia. A 60-year-old female, not receiving prophylactic anticoagulant therapy, underwent elective surgery for a left proximal tibial fracture. During induction of general anesthesia, a temporary bronchospasm occurred and subsided quickly. Because vital signs were stable and patient monitoring was normal, we did not identify a serious hypercarbic condition. After surgery, a massive hemoptysis occurred and the patient expired due to cardiopulmonary collapse. According to autopsy, the cause of death was a PTE originating in deep vein thrombosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Pulmonary Embolism
/
Autopsy
/
Tibial Fractures
/
Bronchial Spasm
/
Cause of Death
/
Venous Thrombosis
/
Vital Signs
/
Hemoptysis
/
Anesthesia, General
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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