Pulmonary Emboli From Massive Thrombosis of the Periprostatic Venous Plexus Mimicking Acute Respiratory Distress Syndrome

Reddy, P Venu Gopala; Solomon, David A.

doi:10.1378/chest.124.4_meetingabstracts.251s

Cited by 5 publications

(5 citation statements)

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“…Demonstration of pelvic vein thrombosis as the source of pulmonary thromboemboli is rare. We have been unable to find reports of this site of origin in the recent literature and have found only one abstract of a case which reports the potential of the periprostatic plexus [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Postmortem Demonstration of the Source of Pulmonary Thromboembolism: The Importance of the Autopsy

Elhammady

Schubeck

El-Najjar

et al. 2011

Case Reports in Vascular Medicine

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Periprostatic or paravaginal venous thromboses are rarely considered clinically as sites of clot origin in patients with pulmonary thromboembolism. The majority of emboli have been demonstrated to originate in the veins of the legs. This report raises awareness of pelvic vein thrombosis as a potential source of pulmonary embolism that is rarely considered or detected clinically, and which usually requires postmortem examination for recognition. It also reviews the possible routes emboli may take to reach the lungs.

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Section: Discussionmentioning

confidence: 99%

Postmortem Demonstration of the Source of Pulmonary Thromboembolism: The Importance of the Autopsy

Elhammady

Schubeck

El-Najjar

et al. 2011

Case Reports in Vascular Medicine

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“…Limb immobilization also imparts significant risk of thrombus formation with postoperative orthopedic patients having an increased rate of deep venous thrombosis and subsequent pulmonary thromboembolism (2,4,7). Less commonly, pulmonary thromboembolism may arise from the periprostatic venous plexus (9). The present study has focused specifically on the potential role that local pelvic factors may have in a forensic population in causing venous stasis from external compression of veins that drain the lower limb.…”

Section: Discussionmentioning

confidence: 99%

Lower Extremity Deep Venous Thrombosis with Fatal Pulmonary Thromboembolism Caused by Benign Pelvic Space‐Occupying Lesions—An Overview

Rosenfeld

Byard

2012

Journal of Forensic Sciences

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Venous stasis predisposes to thrombosis. One hundred and sixty cases of fatal pulmonary thromboembolism were reviewed to determine how many cases had deep venous thromboses associated with venous blood flow reduction caused by external pressure from benign pelvic masses. Three cases were identified, representing 2% of cases overall (3/160): a 44-year-old woman with a large uterine leiomyoma (1048 g); a 74-year-old man with prostatomegaly and bladder distension (containing 1 L of urine); and a 70-year-old man with prostatomegaly and bladder distension (containing 3 L of urine). Although a rare cause of fatal deep venous thrombosis and pulmonary thromboembolism, space-occupying pelvic lesions can lead to extrinsic pressure on adjacent veins reducing blood flow and causing stasis and thrombosis. Individuals with large pelvic masses may, therefore, be at increased risk of pulmonary thromboembolism from deep venous thrombosis, particularly in the presence of concurrent risk factors such as immobility, thrombophilias, malignancy, and significant cardiopulmonary disease.

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“…In addition to these predisposing factors, increasing age is also a well‐recognized risk factor for venous thromboembolism (5–8). Occasionally, fatal PTE may arise from the periprostatic venous plexus (9).…”

Section: Discussionmentioning

confidence: 99%

Is There a Relationship Between Bladder Outlet Obstruction due to Benign Prostatic Hyperplasia and Pulmonary Thromboembolism?

Rosenfeld

Byard

2012

Journal of Forensic Sciences

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Benign prostatic hyperplasia with chronic bladder outlet obstruction has been associated with deep venous thrombosis (DVT) and fatal pulmonary thromboembolism (PTE). To evaluate this further, 60 autopsy cases of men with PTE were compared with 60 age-matched controls. The criteria for outlet obstruction were macroscopic prostatic enlargement with bladder trabeculation and benign prostatic hyperplasia on microscopy. Ten of the 60 men (16.7%) with fatal PTE had evidence of bladder outlet obstruction (age 57-78 years; mean 71.4 years). Of the 60 controls, 12 had evidence of bladder outlet obstruction (20%) (age 67-86 years; mean 75.5 years). No significant relationship could be demonstrated between bladder outlet obstruction and fatal PTE cases (p = 0.8). Given reports of this association, however, it is possible that bladder distension with venous compression may act as a risk modifier in certain individuals in association with other significant comorbidities, but this risk appears low.

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Pulmonary Emboli From Massive Thrombosis of the Periprostatic Venous Plexus Mimicking Acute Respiratory Distress Syndrome

Cited by 5 publications

References 0 publications

Postmortem Demonstration of the Source of Pulmonary Thromboembolism: The Importance of the Autopsy

Postmortem Demonstration of the Source of Pulmonary Thromboembolism: The Importance of the Autopsy

Lower Extremity Deep Venous Thrombosis with Fatal Pulmonary Thromboembolism Caused by Benign Pelvic Space‐Occupying Lesions—An Overview

Is There a Relationship Between Bladder Outlet Obstruction due to Benign Prostatic Hyperplasia and Pulmonary Thromboembolism?

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