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KMID : 0356920090560020211
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Korean Journal of Anesthesiology
2009 Volume.56 No. 2 p.211 ~ p.216
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Lethal pulmonary thromboembolism misdiagnosed as pneumonia - A case report -
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Jeong Yoo-Sung
Kang Yang-Ja
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Abstract
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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.
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KEYWORD
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Bronchospasm, Deep vein thrombosis, Pulmonary thromboembolism
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