Bourget-Murray, JonathanClarke, Mathew AGorzitza, SydneyPhillips, Lisa A2018-11-072018-11-072018-07-06Journal of Medical Case Reports. 2018 Jul 06;12(1):194http://hdl.handle.net/1880/109018https://doi.org/10.11575/PRISM/45641Abstract Background Venous thromboembolism, specifically pulmonary embolism, is a rare complication following elective pediatric orthopedic surgery. Bilateral pulmonary embolism with associated pulmonary hemorrhage/infarct without concomitant deep vein thrombosis has never been reported following routine anterior cruciate ligament reconstruction in an adolescent. Case presentation A 16-year-old white girl presented with acute onset shortness of breath and pleuritic chest pain 6 days following elective anterior cruciate ligament reconstruction. After performing a thorough work-up, she was diagnosed as having provoked bilateral pulmonary embolism with associated pulmonary hemorrhage without concomitant deep vein thrombosis. She was treated successfully with 3 months of anticoagulation therapy with daily Lovenox (enoxaparin) injections. Conclusions Symptomatic bilateral pulmonary embolism may have a good prognosis if it is diagnosed early and treated appropriately. It is important to appreciate the risk of provoked thromboembolic events in healthy adolescents undergoing arthroscopic knee surgery.Journal Article2018-11-07enThe Author(s).https://doi.org/10.1186/s13256-018-1726-8