Pulmonary Embolism with Abdominal Pain and ST Elevation: A Case Report

被引:0
|
作者
Fallahi, Mohammad Javad [1 ]
Masoompour, Seyed Masoom [1 ]
Mirzaee, Mehdi [1 ]
机构
[1] Shiraz Univ Med Sci, Nemazee Teaching Hosp, Dept Internal Med, Pulm & Crit Care Div, Shiraz, Iran
关键词
Pulmonary embolism; Abdominal pain; Electrocardiography;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:395 / 398
页数:4
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