Pulmonary embolism

Case contributed by Dr Abdallah Khateeb

Presentation

Male patient status post total hip replacement surgery. Developed shortness of breath.

Patient Data

Age: 54
Gender: Male
Modality: CT

There are large filling defects, likely acute thromboemboli, lodged in the bilateral main pulmonary arteries extending to the distal branches.  

The right ventricle is prominent with flattening to slight bowing of the interventricular septum towards the left reflective of right heart strain.  Reflux of contrast into the inferior vena cava is also observed.  

Small wedge-shaped opacity, probably an infarct, is demonstrated in the right lung.

Case Discussion

This case demonstrates massive acute pulmonary thromboembolism resulting to right ventricular strain. Recent surgery and immobilisation are known risk factors in developing deep venous thrombosis and subsequent pulmonary thromboembolism. D-dimer is not helpful in the postoperative patient as it is usually positive due to the surgery per se.

PlayAdd to Share

Case Information

rID: 43286
Case created: 3rd Mar 2016
Last edited: 5th Mar 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.