En embolus, flere emboli – eller?

Multiple tumour emboli simulating a massive pulmonary embolus.

Pulmonary hypertension in association with carcinomatosis was first described over 100 years ago (Bristow, 1868). Kane et al. (1975), however, found only 23 reported cases of multiple tumour emboli causing dyspnoea, adding 16 of their own. Only four of these cases were reported from the British Isles. Sarcomas, although commonly metastasising to the lungs have not previously been reported as gi...

An Unusual Pulmonary Embolus

Mrs. L., a 51 year old housewife, presented with a 2 cm. lump in the left breast, which she had first noticed three months previously. Excision biopsy revealed a very poorly differentiated adenocarcinoma with tumour in adjacent vessels. When radiotherapy was instituted 3 weeks later she complained of shortness of breath on exercise, and a dry cough. Over the following week she became increasing...

Diagnosis of Pulmonary Embolus

In patients with suspected pulmonary embolism, posterior/anterior and lateral chest X-rays are recommended as an initial imaging examination because they may reveal an alternate diagnosis and obviate the need for further imaging. If the chest X-ray is negative and the patient has a D-dimer level over an age-adjusted threshold, CT pulmonary angiography (CTPA) is the examination of choice. Ventil...

Bilateral pulmonary emboli.

To cite: Galante O, Lador N, Schwarzfuchs D. BMJ Case Reports Published online: 17 December 2012 doi:10.1136/bcr-2012007827 DESCRIPTION A 79-year-old woman presented with an aggravating effort dyspnoea during the preceding week. On examination, her oxygen saturation was 87% while breathing ambient air; her blood pressure was 120/75; she had distended neck veins; normal breath sounds and regular...

Genesis of fat emboli.