The First Reported Case of Pulmonary Embolism and Deep Vein Thrombosis Associated with Intraductal Papillary Mucinous Neoplasm: A Case Report

Background: Reported cases of Intraductal papillary mucinous neoplasm (IPMN) are becoming more and frequent. The risk hypercoagulability associated with IPMN is not clearly established in the literature as it was only reported four cases. Therefore, we present a unique case patient who subsequently developed acute pulmonary embolism (PE) deep venous thrombosis (DVT). Case presentation: A 70-year-old healthy female complained palpitation, chest pain, dyspnea at rest. She had normal vital signs findings on physical examination. Laboratory tests showed an increase D-Dimer level 3,730 ng/mL fibrinogen equivalent unit (FEU). Bilateral DVT ultrasound (DVT-US) lower extremities positive for calf right extremity involving soleal vein. CT-PE IV contrast remarkable segmental subsegmental arteries thrombosis. started heparin drip then transitioned to rivaroxaban treatment PE DVT. discharged stable condition outpatient follow-up. Conclusion: pancreas exocrine pancreatic often detected Computed Tomography (CT) scan or Magnetic Resonance Imaging (MRI). It usually non-malignant but found be prone progress into cancer other types cysts. An increased pre-malignant lesions such has yet been well established. As far know, this report first article presenting both relatively individual no prior factor hypercoagulability. Although there scattered evidence suggesting thromboembolic events IPMN, highlights importance close monitoring these patients, especially those have factors