Morris Oliver, Mathai Josephin, Weller Karl
St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida.
Clin Pract Cases Emerg Med. 2019 May 20;3(3):226-228. doi: 10.5811/cpcem.2019.4.42324. eCollection 2019 Aug.
We report a case of polymethylmethacrylate cement pulmonary embolism (PE) that occurred two days following a minimally invasive kyphoplasty procedure. Our patient developed non-specific rib pain postoperatively followed by dyspnea, prompting presentation to the emergency department. The polymethylmetacrylate cement was visualized on initial chest radiograph and further characterized using computed tomography. The patient was admitted and anticoagulation started, later having an uncomplicated hospital course. The polymethylmethacrylate cement has a well-documented history of leakage and other postoperative complications. Cement PE, while rare, can present similarly to a thrombotic PE and requires adequate long-term anticoagulation with close follow-up.
我们报告一例在微创椎体后凸成形术后两天发生的聚甲基丙烯酸甲酯骨水泥肺栓塞（PE）病例。我们的患者术后出现非特异性肋骨疼痛，随后出现呼吸困难，促使其前往急诊科就诊。在最初的胸部X光片上可见聚甲基丙烯酸甲酯骨水泥，并使用计算机断层扫描进一步明确其特征。患者入院并开始抗凝治疗，随后住院过程顺利。聚甲基丙烯酸甲酯骨水泥有记录详尽的渗漏及其他术后并发症的病史。骨水泥肺栓塞虽然罕见，但临床表现可能与血栓性肺栓塞相似，需要进行充分的长期抗凝治疗并密切随访。
