Acute Intraoperative Saddle Pulmonary Embolus in a Trauma Patient Undergoing Repair of Tibial Fracture: A Case Report

This case report describes the management of a 40-year-old female who developed a saddle pulmonary embolism (PE) following open reduction and internal fixation (ORIF) of a distal tibia fracture. The patient had no significant past medical history except for regular cannabis use. Postoperatively, she developed a deep vein thrombosis (DVT) and a saddle PE, which were managed with catheter-directed thrombectomy and anticoagulation therapy. This report explores the potential link between cannabis use and thromboembolic events and emphasizes the need for comprehensive perioperative care in patients with such risk factors.