E-ISSN 2149-9934
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Early Stage Pulmonary Embolism Because of Stab Wound Injury Without Vascular Penetration
1 Department of Forensic Medicine, Abant İzzet Baysal University School of Medicine, Bolu, Turkey  
2 Department of Forensic Medicine, İnönü University School of Medicine, Malatya, Turkey  
3 Justice Ministry, Council of Forensic Medicine, Iğdır Branch, Iğdır, Turkey  
4 Justice Ministry, Council of Forensic Medicine, Malatya Group Chairmanship, Malatya, Turkey  
JEMCR 2017; 8: 76-79
DOI: 10.5152/jemcr.2017.1859
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Key Words: Pulmonary embolism, stab wound injury, forensic case
Abstract

Introduction: Pulmonary embolism, occurring as a result of acute obstruction of the pulmonary artery system, may vary from the frequently observed asymptomatic clinical state to sudden death and is a disease with high morbidity and mortality rates. Pulmonary embolism is most commonly observed within 5–7 days of trauma and has been occasionally reported before 4 days.

 

Case Report: A 40-years-old female was admitted to emergency service with a knife wound injury. Her vital and laboratory values were normal. Physical examination revealed a knife wound injury, measuring 2 x 1 cm, on the femoral midline of the left leg. Then, she was discharged. After approximately 6 h, she presented to another emergency service with complaints of chest pain and syncope. During evaluation, she developed cardiopulmonary arrest and died because of pulmonary embolism.

 

Conclusion: This report presents a case of early stage pulmonary embolism that developed because of circulation disruption caused by the effect of pressure as a result of a localized hematoma owing to an indirect effect of a stab wound injury with no vascular penetration injury.

 

Cite this article as: Petekkay S, Ayaz N, Doğan M, Oruç M, Okdemir E, Celbis O.  Early Stage Pulmonary Embolism Because of Stab Wound Injury Without Vascular Penetration.  J Emerg Med Case Rep 2017; 8: 76-9.

 

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