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Case Report| Volume 58, ISSUE 4, P792-794, July 2019

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Fatal Massive Pulmonary Embolism Following a Minor Ankle Injury as a Rare Cause of Sudden Unexpected Death: A Case Report

  • Supawon Srettabunjong
    Correspondence
    Address correspondence to: Supawon Srettabunjong, MD, MSc, MTox, LLB, Assistant Professor of Forensic Medicine, Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok 10700, Thailand.
    Affiliations
    Assistant Professor of Forensic Medicine, Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Published:April 20, 2019DOI:https://doi.org/10.1053/j.jfas.2018.11.019

      Abstract

      Venous thromboembolism is a condition that includes both deep vein thrombosis and pulmonary thromboembolism. Pulmonary thromboembolism is a condition that is familiar to forensic pathologists for its common cause of sudden unexpected death. Fatal pulmonary thromboembolism following deep vein thrombosis has been previously reported as a consequence of major ankle injury but not following minor ankle injury. Here, I report the case of sudden unexpected death in a 54-year-old female without known underlying risk factors for venous thromboembolism, except for a history of minor injury at her left ankle, which possibly caused local vascular wall damage with subsequent deep vein thrombosis and eventual massive pulmonary thromboembolism.

      Level of Clinical Evidence

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