Pulmonary embolism in a trauma patient with liver and orthopedic injuries

We report the case of a 41 year-old man admitted for lower limb and liver trauma following a car accident. Surgical repair of a tibial fracture was performed under general anesthesia 5 days after admission while the liver injury was managed conservatively. At the time of tourniquet inflation, the patient presented a pulmonary embolism. Low-molecular-weight heparin administration had been delayed for 72 hours after admission due to the liver injury. Risk factors for bleed-ing and thromboembolism in trauma patients with liver injury are discussed.