Budd Chiari syndrome is a rare disorder resulting from hepatic venous outflow tract obstruction anywhere from the small hepatic veins to the suprahepatic inferior vena cava. This patient has a hypercoagulable state secondary to heterozygous mutation of factor V and the JAK2 mutation and is being anticoagulated. We hypothesize that the low protein C and low antithrombin III levels seen in this p...

NSAID: nonsteroidal anti-inflammatory drugs PSA: prostate-specific antigen INTRODUCTION Trousseau syndrome is a hypercoagulable state in association with an underlying malignancy. It is associated with myriad arterial and venous thrombotic events such as superior vena cava obstruction, noninfectious endocarditis, and myocardial infarction. Here we describe an unusual presentation of Trousseau s...

Myocardial infarction is very uncommon in young females. We are reporting a case of acute myocardial infarction in a 20 year pregnant female with prosthetic mitral valve. Embolism from mitral valve prosthesis, in-situ thrombosis due to hypercoagulable state of pregnancy or coronary spasm could be responsible.

Venous thromboembolism (VTE) represents the formation of a blood clot in one of the deep veins of human body. The significant morbidity and mortality rates associated with VTE have spurred increasing investigations seeking to identify causative factors for this complex condition. While the most frequent causes of an inherited hypercoagulable state are the Factor V Leiden mutation and the prothr...

Swine flue is a highly contagious acute respiratory disease caused by a subtype of influenza A virus. Herein we present three patients with H1N1 infection complicated with pulmonary thromboembolism. The patients had chest pain and unexplained dyspnea. Imaging studies showed bilateral hilar predominance. Computed tomographic angiography confirmed bilateral thromboembolism (an unusual presentatio...

introduction: extreme altitude travel has gained popularity globally for adventurous, scientific, and military endeavors. cerebral venous sinus thrombosis (cvst) at extreme altitude is a rare, covert, and emergent condition requiring immediate intervention. case presentation: a case of cvst masqueraded as high altitude cerebral edema (hace) at 6700 m/22000 ft in karakoram himalayas. atypical ol...