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:
Colombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri LankaColombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri Lanka
Munagama, Chathuri
Wanigasuriya, Rasanee
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Colombo South Teaching Hosp, Kalubowila, Sri LankaColombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri Lanka
Wanigasuriya, Rasanee
Kumaran, Arul
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Colombo South Teaching Hosp, Kalubowila, Sri LankaColombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri Lanka
Kumaran, Arul
Matthias, Thushara
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Colombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri Lanka
Univ Sri Jayewardenepura, Fac Med Sci, Nugegoda, Sri LankaColombo South Teaching Hosp, Univ Med Unit, 21-14 Bodhiya Rd, Kalubowila 10350, Sri Lanka
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
Jolobe, Oscar M. P.
AMERICAN JOURNAL OF EMERGENCY MEDICINE,
2021,
45
: 662
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663
机构:
Tabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran
Univ Buffalo, Anesthesiol Dept, Buffalo, NY USATabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran
Pourafkari, Leili
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Ghaffari, Samad
Tajlil, Arezou
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Tabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, IranTabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran
Tajlil, Arezou
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Akbarzadeh, Fariborz
Jamali, Farin
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Tabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, IranTabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran
Jamali, Farin
Nader, Nader D.
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Univ Buffalo, Anesthesiol Dept, Buffalo, NY USATabriz Univ Med Sci, Cardiovasc Res Ctr, Tabriz, Iran