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Case Reports in Emergency Medicine
Volume 2017, Article ID 4316928, 5 pages
https://doi.org/10.1155/2017/4316928
Case Report

Bilateral Pulmonary Embolism after a Short-Haul Flight in a Man with Multiple Risk Factors including Sickle Cell Trait

Department of Medicine, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago

Correspondence should be addressed to Kanterpersad Ramcharan; moc.oohay@97narahcmark

Received 8 January 2017; Revised 16 March 2017; Accepted 19 March 2017; Published 29 March 2017

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2017 Kamille Abdool et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of pulmonary embolism (PE) in an Afro-Caribbean man following a short commercial flight of less than 5,000 kilometers (Km) in economy class with a 1-month interval between journeys. He had an elevated body mass index (BMI) and sickle cell trait (SCT) with hyperhomocysteinemia. No other preexisting source of venous thrombosis was found. We posit that venous thromboembolism (VTE) and/or PE may have been a complication of SCT in an individual with other multiple risk factors. We discuss the possible interaction of these risk factors for VTE and/or PE and the implications for travelers at risk. The need for a PE risk score and guidelines for the prophylaxis of thromboembolism among travelers exists.