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Case Report: Rare Pulmonary Embolism After Routine PIVC Insertion

By Nirajan Nepal, MD, and Paul C. Schunk, MD | on September 22, 2025 | 1 Comment
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In conclusion, this case serves as a cautionary reminder that no medical procedure is truly benign. It calls for increased awareness, surveillance, and preventive strategies surrounding even routine interventions like PIVC placement, especially in emergency and deployed military settings. Proactive recognition and timely management of thrombotic complications can significantly improve outcomes for service members and civilians alike.

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ACEP Now: October 2025 (Digital)

Dr. Nepal is a third-year emergency medicine resident at Madigan Army Medical Center. He completed his medical education at the Uniformed Services University of the Health Sciences. Dr. Nepal was born and raised in Nepal before moving to the U.S. for college at Kutztown University in Pennsylvania. Prior to medical school, he served as an enlisted soldier in the U.S. Army, a journey that continues to shape his dedication to service and patient care with humility.

 

References

  1. Valeriani E, Di Nisio M, Porceddu E, et al. Anticoagulant treatment for upper extremity deep vein thrombosis: a systematic review and meta-analysis. J Thromb Haemost. 2022;20(3):661-670.
  2. Duan Y, Wang GL, Guo X, et al. Acute pulmonary embolism originating from upper limb venous thrombosis: two case reports. World J Clin Cases. 2022;10(21):7445–7450.
  3. Lebon M, Ancedy Y, Boccara F, et al. Foreign body causing superficial venous thrombosis and subsequent pulmonary embolism: a case report. Eur Heart J Case Rep. 2018;2(4):yty125.
  4. Chen AW, Oraii Yazdani K, Candilio L. Upper limb deep vein thrombosis: a case report of an increasingly common condition. J Tehran Heart Cent. 2018;13(2):73–75.
  5. Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest. 2016;149(2):315–352.
  6. Li Y, Wang Z, Sang X. Subclavian vein thrombosis and fatal pulmonary embolism after proximal humerus fracture surgery. J Orthop Surg Res. 2019;14:76.

Pages: 1 2 3 | Single Page

Topics: AnticoagulantCase ReportsDeep Vein ThrombosisGastroenteritisInjury & TraumaIVMilitaryPulmonary EmbolismThrombosisUltrasound

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One Response to “Case Report: Rare Pulmonary Embolism After Routine PIVC Insertion”

  1. September 28, 2025

    Scott Mankowitz Reply

    Interesting story. Please stop creating new abbreviations and placing them in the title of the article.

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