Metatarsal fracture leading to massive pulmonary embolism

Abstract

Immobilization and bed rest after fracture and orthopedic surgery are routinely advised protocol. Period of bed rest usually depends on the type of injury and orthopedic procedure, ranging from few days to weeks. The trauma, surgery, and immobilization with other contributing factors can lead to deep vein thrombosis and pulmonary embolism (PE) in these patients. Although there is high incidence of PE in such patients, it is difficult to diagnose, primarily because of the variety of nonspecific signs and symptoms. Here, we discuss a case of a 30-year-old female, who had suffered a trivial roadside accident leading to metatarsal bone fracture and later on presented in emergency with seizures, pulmonary edema, and cardiac arrest, after immobilization of just 5 days which was diagnosed to be result of massive PE. Here, we will discuss the pathophysiology, risk factors, and management of massive PE.

Early active rehabilitation treatment for a patient with a stable type of fifth metatarsal base fracture: A case report

“…Immobilization and bed rest after fracture may lead to deep vein thrombosis, pulmonary embolism ( 8 ), and joint stiffness ( 9 ). Joint stiffness occurs because of the long immobilization time required due to the fracture site, as well as relative joint adhesion and ligament contracture.…”

Anaesthetic management of a case of pulmonary thromboembolism with pulmonary artery hypertension posted for bipolar hemiarthroplasty

“…6 VTE is often an after effect of trauma and major orthopedic surgery, while the incidence of massive PE is rare. 7 While the pulmonary artery area is obstructed more than 50% it is known as Pulmonary embolism. The major etiopathogenesis causing PAH is hypothesized to be the remodelling of small pulmonary arteries (<500 µm diameter) via the proliferation of smooth muscle and endothelial cells.…”