Pulmonary embolism by foreign bodies: a case report

Authors

  • M. V. Rudik State Institution "Zaporizhzhia Medical Academy of Post-Graduate Education of Ministry of Health of Ukraine",
  • I. V. Rudik Zaporizhzhіa, Municipal Institution “City Clinical Hospital No. 6”, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2018.6.146784

Keywords:

pulmonary thromboembolism, nonthrombotic pulmonary embolism, foreign bodies, computed tomography angiography

Abstract

The problem of pulmonary thromboembolism (PTE) continues to be highly relevant, as it remains a complex clinical problem today, in spite of modern diagnostic and treatment methods. According to WHO, PTE is recognized as one of the most common cardiovascular diseases in the world and ranks third after coronary heart disease and brain stroke. Embolism to the pulmonary artery is not always caused by thrombotic masses. There is also a non-thrombotic pulmonary embolism (NTPE), which is defined as embolization to the pulmonary arteries by different types of cells (adipocytes, amniotic, trophoblastic or tumor), fungi, septic and foreign material or air / gases. In our article, the clinical case of embolism to the pulmonary artery by foreign bodies – coils placed in the left spermatic vein for varicocele correction is presented. Despite the significant lesion area, signs of pulmonary hypertension were not revealed. Thus, the rapidly evolving potential of modern interventional medicine requires a doctor to be aware and alert as for a NTPE development. Computed tomographic angiopulmonography with the aid of intravenous contrast enhancement is the main diagnostic method for pulmonary thromboembolism as well as for non-thrombotic pulmonary embolism.

 

 

References

Vatutin, N. T., Kalinkina, N. V., Yeshchenko, Ye. V., Kostogryz, V. B., & Kasem, S. S. (2013). Tromboe'mboliya legochnoj arterii: osnovnye svedeniya i sobstvennye nablyudeniya [Thromboembolism of the pulmonary artery: basic information and personal observations]. Sertse i sudyny, 1(41), 120–123. [in Russian].

Castañer, E., Gallardo, X., Ballesteros, E., Andreu, M., Pallardó, Y., Mata, J., & Riera, L., et al. (2009). CT Diagnosis of Chronic Pulmonary Thromboembolism. RadioGraphics, 29, 31–53.

Vatutin, N. T., Sklyannaya, Ye. V., Yeshchenko, Ye. V., Degtereva, A. E., Kravchenko, A. V., Kartamysheva, Ye. V., et al. (2014). Tromboe'mboliya legochnoj arterii (Obzor rekomendacij Yevropejskogo obshchestva kardiologov po diagnostike i lecheniyu, 2014) [Thromboembolism of the pulmonary artery (Review of the recommendations of the European Society of Cardiology for Diagnosis and Treatment, 2014)]. Praktychna anhiolohiia, 1(68), 5–18. [in Russian].

Parkhomenko, O. M., Amosova, K. M., Dziak, H. V., Kovalenko, V. M., Netiazhenko, V. Z., Todurov, B. M., et al. (2016). Diahnostyka ta likuvannia hostroi tromboembolii lehenevoi arterii [Diagnosis and treatment of acute pulmonary artery thromboembolism]. Ukrainskyi kardiolohichnyi zhurnal, 2, 4–51. [in Ukrainian].

Jorens, P. G., Van Marck, E., Snoeckx, A., & Parizel, P. M. (2009). Nonthrombotic pulmonary embolism. Eur. Respir. J., 34(2), 452–74. doi: 10.1183/09031936.00141708.

Kastarnov, A. V., Yudin, A. L., Rogatkin, P. S., Orlova, L. G., Sekirskaya, G. V., & Khurkhurova, N. V. (2016). Netromboticheskaya e'mboliya legochnoj arterii polimetilmetakrilatom [Nonthrombotic embolism of pulmonary artery by polymethylmethacrylate]. Luchevaya diagnostika i terapiya, 3, 73–77. [in Russian].

Muslimov, Sh., Bogdanov, A., & Dadashev, E. (2011). Varikocele: rezul'taty primeneniya raznykh metodov lecheniya [Varicocele: results of using various treatments]. Vrach, 11, 56–60. [in Russian].

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How to Cite

1.
Rudik MV, Rudik IV. Pulmonary embolism by foreign bodies: a case report. Zaporozhye Medical Journal [Internet]. 2019Feb.1 [cited 2024Dec.24];(6). Available from: http://zmj.zsmu.edu.ua/article/view/146784

Issue

No. 6 (2018)

Section

Case Reports

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