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Pulmonary Embolism with Abdominal Pain and ST Elevation: A Case Report | ||
| Iranian Journal of Medical Sciences | ||
| مقاله 12، دوره 39، شماره 4، مهر 2014، صفحه 395-398 اصل مقاله (483.58 K) | ||
| نوع مقاله: Case Report(s) | ||
| نویسندگان | ||
| Mohammad Javad Fallahi* ؛ Seyed Masoom Masoompour؛ Mehdi Mirzaee | ||
| Pulmonary and Critical Care Division, Department of Internal Medicine, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| چکیده | ||
| 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. | ||
| کلیدواژهها | ||
| Pulmonary embolism؛ Abdominal pain؛ Electrocardiography | ||
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