Pulmonary embolism is considered as a great masquerader due to its frequent nonspecific signs and symptoms. Typically pulmonary embolism is under-diagnosed or over-diagnosed. In this study a patient with pulmonary embolism is reported in which the patient exhibited two unusual manifestations namely; right upper quadrant abdominal pain and ST-T elevation in anterior precordial leads. Due to the fact that the patient did not display typical pulmonary embolism symptoms and its major risk factors, extensive workup to discern the cause was carried out. The examination included abdominal sonography, kidney ureter and bladder Computed Tomography scan (CT-scan) and coronary angiography. Eventually after a six-day delay, pulmonary embolism was diagnosed by spiral chest CT scan. This case and several other similar reports underlines the fact that while various other common causes may exist for right upper abdominal pain, one should always consider pulmonary embolism as a possible cause especially when backed up with ECG finding.
机构:
Southern Med Univ, Zhujiang Hosp, Dept Resp, Guangzhou, Guangdong, Peoples R ChinaSouthern Med Univ, Clin Inst 2, Guangzhou, Guangdong, Peoples R China
机构:
Manchester Med Soc, Div Med, Simon Bldg,Brunswick St, Manchester M13 9PL, Lancs, EnglandManchester Med Soc, Div Med, Simon Bldg,Brunswick St, Manchester M13 9PL, Lancs, England
机构:
Capital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R ChinaCapital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R China
Yuan, Lin
Li, Hong
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Capital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R ChinaCapital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R China
Li, Hong
Mi, Yuhong
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Capital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R ChinaCapital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R China
Mi, Yuhong
Liang, Ying
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Capital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R ChinaCapital Med Univ, Beijing Anzhen Hosp, Emergency Crit Ctr, Beijing 100029, Peoples R China