Han Jae-Young, Seon Hyo-Jeong, Choi In-Sung, Ahn Youngkeun, Jeong Myung-Ho, Lee Sam-Gyu
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.
J Spinal Cord Med. 2012 May;35(3):178-81. doi: 10.1179/2045772312Y.0000000010.
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.
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.
Case report.
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.
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.
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.
同时发生肺血栓栓塞症（PTE）和心包积血是一种罕见但危及生命的病症。由于心包积血是抗凝治疗的禁忌证，同时处理这两种情况具有挑战性。
本研究的目的是报告一例罕见病例，一名患有胸段脊髓损伤的男性同时出现PTE和心包积血。
病例报告。
一名43岁男性，T9不完全性截瘫（美国脊髓损伤协会损伤分级D级），在一次跌倒导致脊髓损伤后一个半月出现发热。
在评估发热原因期间，胸部计算机断层扫描和经胸超声心动图显示同时存在PTE和心包积血。在连续2天的超声心动图显示病情稳定后，给予静脉注射肝素和口服华法林，并密切观察其病情。最终，两种情况均得到改善，无明显并发症。
我们报告了一例成功治疗的急性脊髓损伤男性患者，该患者同时被诊断为PTE和心包积血，这是一种罕见的并发症，涉及两种不同且相反的病理机制和相互冲突的治疗方法。
