Massive Pulmonary Embolus presenting with abdominal pain

Pulmonary Embolism Presenting as Abdominal Pain: An Atypical Presentation of a Common Diagnosis

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 5...

Acute pulmonary embolus with visible right heart thrombus in transit.

1 of 2 DESCRIPTION A 29-year-old woman presented to our emergency department with syncope, acute chest pain and circulatory collapse. She had a tachycardia of 135 bpm, blood pressure of 77/55 mm Hg and a profound metabolic acidosis (pH 7.07, lactate 10, base excess-20). A 12-lead ECG ( fi gure 1 ) showed sinus tachycardia with right axis deviation, large p waves and poor R wave progression acro...

Isolated Splenic Metastasis Presenting with Continuous Fever and Abdominal Pain

Management of gut ischemia

Ischemia of the intestine may manifest with different clinical features, each one requiring a specific diag­ nosis and treatment approach. Early identification and treatment of acute mesenteric ischemia is cru­ cial to improve prognosis. For that purpose, early angiography followed by surgery or a direct laparo­ tomy in critically ill patients is warranted. Embolec­ tomy and bowel resection for...

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

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 ...