case_images: PMC3896692_01
case_images: Open wound on the palmar side of wrists. A: Right side. B: Left side.
case_images: 1756-0500-7-36-1.jpg
case_images: PMC3896692_01_1756-0500-7-36-1.jpg
case_images: F1
case_images: There were cut wounds measuring approximately 5 cm on the palmar side of both wrists (Figure 1A and B) and radiographs showed bilateral distal radius fractures.
case_images: Radiographs showed bilateral distal radius fractures. According to the Arbeitsgemeinschaft fur Osteosynthesefragen (AO) classification, right side is A3 and left side is A1. A: Right side, A-P view. B: Right side, lateral view. C: Left side, A-P view. D: Left side, lateral view.
case_images: 1756-0500-7-36-2.jpg
case_images: PMC3896692_01_1756-0500-7-36-2.jpg
case_images: F2
case_images: The right side was classified as A3 according to the Arbeitsgemeinschaft fur Osteosynthesefragen (AO) classification and the left side was A1 (Figure 2A,B,C and D).
case_images: Postoperative radiographs. A: Right side, A-P view. B: Right side, lateral view. C: Left side, A-P view. D: Left side, lateral view.
case_images: 1756-0500-7-36-3.jpg
case_images: PMC3896692_01_1756-0500-7-36-3.jpg
case_images: F3
case_images: Since contamination of bones was almost nonexistent, we performed osteosynthesis with volar locking plates (Figure 3A,B,C and D).
case_images: Pulmonary thromboembolism on computed tomography (CT) scan. A: CT scan showed thrombosis in the bilateral main pulmonary arteries. B: Disappered thrombosis in the bilateral main pulmonary arteries.
case_images: 1756-0500-7-36-4.jpg
case_images: PMC3896692_01_1756-0500-7-36-4.jpg
case_images: F4
case_images: Her serum D-dimer level was 19.0 mug/dl, troponin T was positive and urgent contrast computed tomography (CT) scan of her thorax revealed thrombosis in her bilateral main pulmonary arteries (Figure 4A). On the seventh day after the embolism was found, her condition in general became stable, and thrombosis in her bilateral main pulmonary arteries disappeared on CT scan (Figure 4B).