Document Detail


Simultaneously diagnosed pulmonary thromboembolism and hemopericardium in a man with thoracic spinal cord injury.
MedLine Citation:
PMID:  22507028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Simultaneous pulmonary thromboembolism (PTE) and hemopericardium is a rare but life-threatening condition. As hemopericardium is a contraindication to anticoagulation treatment, it is challenging to handle both conditions together.
OBJECTIVE: The objective of the study was to report a rare case of a man with thoracic spinal cord injury presenting with simultaneous PTE and hemopericardium.
DESIGN: Case report.
SUBJECT: A 43-year-old man with incomplete T9 paraplegia (American Spinal Injury Association Impairment Scale D) complained of fever one and a half months after spinal cord injury sustained in a fall.
FINDINGS: During evaluation of fever origin, chest computed tomography and transthoracic echocardiogram revealed simultaneous PTE and hemopericardium. After serial echocardiograms over 2 days demonstrated stability, intravenous heparin, and oral warfarin were administered and his medical status was observed closely. Ultimately, both conditions improved without significant complications.
CONCLUSION: We report successful treatment of man with acute spinal cord injury who presented with simultaneously diagnosed PTE and hemopericardium, a rare complication involving two distinct and opposing pathological mechanisms and conflicting treatments.
Authors:
Jae-Young Han; Hyo-Jeong Seon; In-Sung Choi; Youngkeun Ahn; Myung-Ho Jeong; Sam-Gyu Lee
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  35     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-09-17     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  178-81     Citation Subset:  IM    
Affiliation:
Department of Physical and Rehabilitation Medicine, Center for Aging and Geriatrics, Regional CardioCereboVascular Center, Research Institute of Medical Sciences, Chonnam National University Medical School & Hospital, Gwangju City, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Humans
Male
Paraplegia / complications,  radiography
Pericardial Effusion / complications,  radiography*
Pulmonary Embolism / complications,  radiography*
Spinal Cord Injuries / complications,  radiography*
Thoracic Vertebrae / radiography
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