Pulmonary embolism: an often forgotten differential diagnosis for abdominal pain

Hosein, A S; Mahabir, Vijai; Konduru, S; Giddings, Stanley

doi:10.1093/qjmed/hcz138

Cited by 8 publications

(2 citation statements)

References 7 publications

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“…SaO 2 amounted to 98% breathing room air. CTPA showed an embolism involving the right posterior segmental arteries [26].…”

Section: Pleural Eff Usionmentioning

confidence: 99%

“…Abdominal pain is most easily identi iable as being attributable to PE when it is associated with other symptoms of PE such as breathlessness. Diagnostic dif iculty occurs when abdominal pain is the sole presenting feature of PE, as was the case in anecdotal reports [26,27] and in 9.5% of forty two PE subjects in a retrospective study conducted in a tertiary hospital [28]. Misattribution of PE-related abdominal pain to a "surgical" cause unrelated to PE can result in inappropriate laparotomy and surgical exploration [16,22].…”

Section: Abdominal Painmentioning

confidence: 99%

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Atypical manifestations of pulmonary embolism

Jolobe¹

2020

Arch Vas Med

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Pulmonary embolism (PE) is an age-related disorder which is potentially fatal, but frequently misdiagnosed. However, the true prevalence of pulmonary embolism is unknown. Inaccurate estimates of PE prevalence might, in part, be attributable to underrecognition of atypical presentations of this disorder. If true prevalence is unknown, the positive predictive values of both typical and atypical symptoms and signs of PE will be unreliable. The negative predictive value of those parameters will, likewise, be unreliable. The aim of this review is to make clinicians more aware of atypical manifestations of PE, thereby increasing the likelihood of correct diagnosis and, hence, ascertainment of the true prevalence of PE. The range of atypical manifestations was explored by a literature search, using MEDLINE from using the search terms atypical, uncommon, unusual, pulmonary embolism, lung embolism, pulmonary thromboembolism.This search revealed atypical presenting features such as non pleuritic retrosternal pain, abdominal pain, atypical breathing patterns, pulmonary oedema, Dressler's syndrome, atypical radiographic manifestations, atypical electrocardiographic features, manifestations associated with oxygen saturation of 95% or more, coexistence of acute myocardial infarction and pulmonary embolism, coexistence of thoracic aortic dissection and pulmonary embolism, neurological manifestations other than stroke, paradoxical embolism, acute venous thrombosis of atypical location, and pulmonary embolism with normal D-dimer levels.Atypical manifestations of pulmonary embolism https://www.heighpubs.org/hjvsm 009 https://dx.

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“…SaO 2 amounted to 98% breathing room air. CTPA showed an embolism involving the right posterior segmental arteries [26].…”

Section: Pleural Eff Usionmentioning

confidence: 99%