Pulmonary Embolism Presenting as Abdominal Pain: An Atypical Presentation of a Common Diagnosis
Joint Authors
John, Elizabeth S.
Rehman, Hasan
Parikh, Payal
Source
Case Reports in Emergency Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-24
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Pulmonary embolism (PE) is a frequent diagnosis made in the emergency department and can present in many different ways.
Abdominal pain is an unusual presenting symptom for PE.
It is essential to maintain a high degree of suspicion in these patients, as a delay in diagnosis can be devastating for the patient and confers a high risk of mortality if left untreated.
Here, we report the case of a 53-year-old male who presented to the emergency department with worsening right upper quadrant abdominal pain with fevers.
Initial imaging was benign, although lab work showed worsening leukocytosis and bilirubin.
Abdominal pathology seemed most likely, but the team kept PE on the differential.
Further imaging revealed acute pulmonary embolus in the segmental branch of the right lower lobe extending distally into subsegmental branches.
The patient was started on anticoagulation and improved drastically.
This case highlights the necessity of keeping a broad differential and maintaining a systematic approach when dealing with nonspecific complaints.
Furthermore, a discussion on the pathophysiology on why PE can present atypically as abdominal pain, as well as fevers, is reviewed.
Using this information can hopefully lead to a subtle diagnosis of PE in the future and lead to a life-saving diagnosis.
American Psychological Association (APA)
Rehman, Hasan& John, Elizabeth S.& Parikh, Payal. 2016. Pulmonary Embolism Presenting as Abdominal Pain: An Atypical Presentation of a Common Diagnosis. Case Reports in Emergency Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100741
Modern Language Association (MLA)
Rehman, Hasan…[et al.]. Pulmonary Embolism Presenting as Abdominal Pain: An Atypical Presentation of a Common Diagnosis. Case Reports in Emergency Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100741
American Medical Association (AMA)
Rehman, Hasan& John, Elizabeth S.& Parikh, Payal. Pulmonary Embolism Presenting as Abdominal Pain: An Atypical Presentation of a Common Diagnosis. Case Reports in Emergency Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100741
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100741