Abstract
CASE: A 52-year-old male fell from his bike and sustained fractures of the right proximal humerus and the left distal radius, both of which were fixed in a single sitting a day after the injury. On postoperative day four, the patient developed features suggestive of acute pulmonary embolism. CONCLUSION: Reports of acute pulmonary embolism developing after surgical fixation of bilateral upper extremity fractures are rare. A high index of suspicion especially in patients with predisposing risk factors is essential to identify the signs of a thromboembolic event and initiate appropriate intervention.