Saddle Pulmonary Embolus

Large saddle embolus during cancer therapy.

To cite: Brown TJ, Khan SA. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-215837 DESCRIPTION A 67-year-old non-smoking man with stage IV (T2N2cM0) p16-positive squamous cell carcinoma of the tongue, undergoing curative-intent hypofractionated radiation as part of a clinical trial, uneventfully received his fourth dose of weekly cisplatin 30 mg/m. Later, he...

Type A aortic dissection mimicking a saddle pulmonary embolus on computed tomographic angiography.

A 21-year-old man presented with acute onset of severe, ripping chest pain. He reported mild dyspnea but denied other associated symptoms, including leg swelling, palpitations , or neurological symptoms. He had a long-standing personal history of hypertension and reported a family history of venous thromboembolism and diabetes mellitus. On physical examination, the patient was tachycardic and h...

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...

Atrial myxoma producing a saddle embolus in a child.