Lower limb long bone fractures are vulnerable for venous thromboembolism leading to pulmonary thromboembolism. Here, we present a case of preexisting pulmonary thromboembolism with pulmonary artery hypertension posted for bipolar hemiarthroplasty.In hemodynamically stable patients it is better to operate the underlying fracture early to avoid recurrence and worsening of pulmonary thromboembolism. This case was successfully managed under general anesthesia.

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A 14 years old boy presented to our department with a chief complaint of slow-growing mass since six months duration in the left hard palate. Based on the history, clinical, radiological and histopathological findings the mass was diagnosed as leiomyoma of hard palate. Immunohistochemistry was carried out for a more precise confirmation of the tumor, which showed positivity for SMA and vimentin. The mass was treated by extraction of the involved teeth followed by surgical excision of the tumor. No recurrence was noted during four month follow-up. Conclusion: Oral leiomyomas are very rare, with low recurrence rates. These benign lesions respond well to surgical excision of tumor mass. In this paper, we present a case of leiomyoma of hard palate in a 14 years old boy, along with a brief note on review of literature on leiomyoma.