Royal Berkshire Hospital, Reading, UK
Royal Berkshire Hospital, Reading, UK.
Clin Med (Lond). 2018 Oct;18(5):406-408. doi: 10.7861/clinmedicine.18-5-406.
We present the case of a 77-year-old woman who had an accidental fall in her garden, resulting in a fracture of her left ankle. After manipulation of the fracture, she developed sudden onset shortness of breath. An echo led to the diagnosis of Takotsubo cardiomyopathy. Shortly after this she developed sudden onset receptive and expressive dysphasia. Magnetic resonance imaging (MRI) of the head confirmed a left parietal infarct thought to be secondary to left ventricular thrombus formation. She was started on dabigatran. A few days later, she developed abdominal pain, and was subsequently diagnosed with a spontaneous splenic rupture. This case was interesting due to the unusual chain of events following a simple fall, and also a rare complication of anticoagulant therapy.
我们报告了一例 77 岁女性，她在花园里意外摔倒，导致左踝关节骨折。骨折复位后，她突然出现呼吸急促。超声心动图诊断为应激性心肌病。此后不久，她突然出现接受性和表达性语言障碍。头部磁共振成像（MRI）证实左侧顶叶梗死，考虑继发于左心室血栓形成。她开始接受达比加群治疗。几天后，她出现腹痛，随后被诊断为自发性脾破裂。本例病例很有趣，因为这是一个简单跌倒后发生的不常见的连锁事件，也是抗凝治疗的罕见并发症。
