چکیده:
The main goal of this report was to share with clinicians an atypical presentation of pulmonary thromboembolism (PTE) in a young male`s post-appendectomy, whom he had no significant predisposing factors for such disease. The case also introduced for re-examining the challenges of PTE clinical manifestations which may mimic other differential diagnosis. PTE is an abrupt blockage of the pulmonary artery by a thrombus. Such thrombus is generated by a blood clot which has been formed, separated and migrated from the leg and/or pelvic veins toward the lung.The lung tissue`s circulation is impaired which later episode results hypoxia and infarction. These events initiate a set of PTE clinical manifestations .
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 11, No. 17, April 2013 Reviews/Short communication Young Male’s Post Appendectomy Complication of Pulmonary Thromboembolism Hashem Shemshadi, MD.
Tehran University of Medical Sciences, Tehran, Iran The main goal of this report was to share with clinicians an atypical presentation of pulmonary thromboembolism (PTE) in a young male`s post-appendectomy, whom he had no significant predisposing factors for such disease.
Keywords: post-appendectomy, surgical complication, deep vein thrombosis, pulmonary thromboembolism, immobilization Submitted: 19 Jan. 2013 Accepted: 25 March 2013 Introduction PTE is one of the most fatal complication post operatively and if occurs after a classical open appendectomy in a young male without having previous predisposing factors, is considered rare(1- 8).
An abrupt blockage of circulation to the lung tissue, cause appearance of an acute clinical manifestations of PTE such as sudden chest pain and respiratory difficulties, consequence apprehension, anxiety and a productive cough with bloody sputum.
The most frequent clinical presentation of patients with PTE, is the abrupt chest pain which aggravates with periods of respiration.
Patient`s Normal Chest X-Ray Iranian Rehabilitation Journal, Vol. 11, No. 17, April 2013 Surgical consultation made, found negative for any possible problems.
Any sudden onset of shortness of breath in a patient, who has undergone any type of surgery or has been immobilized long in the hospital bed, may be one the most staggering sign in PTE.
As the most common source of thrombus formation and embolization are the patient`s leg proximal deep venous and or the pelvis veins thrombosis, these areas may be checked for evidence of any abnormality and positive physical findings.