Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Pulmonary Embolism with Abdominal Pain and ST Elevation: A Case Report

Document Type : Case Report(s)

Authors

Mohammad Javad Fallahi
Seyed Masoom Masoompour
Mehdi Mirzaee

Pulmonary and Critical Care Division, Department of Internal Medicine, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract
Pulmonary embolism is considered as a great masquerader due to its frequent nonspecific signs and symptoms. Typically pulmonary embolism is under-diagnosed or over-diagnosed. In this study a patient with pulmonary embolism is reported in which the patient exhibited two unusual manifestations namely; right upper quadrant abdominal pain and ST-T elevation in anterior precordial leads. Due to the fact that the patient did not display typical pulmonary embolism symptoms and its major risk factors, extensive workup to discern the cause was carried out. The examination included abdominal sonography, kidney ureter and bladder Computed Tomography scan (CT-scan) and coronary angiography. Eventually after a six-day delay, pulmonary embolism was diagnosed by spiral chest CT scan. This case and several other similar reports underlines the fact that while various other common causes may exist for right upper abdominal pain, one should always consider pulmonary embolism as a possible cause especially when backed up with ECG finding.

Keywords

Pulmonary embolism
Abdominal pain
Electrocardiography
Iranian Journal of Medical Sciences
Volume 39, Issue 4 - Serial Number 4
20
July 2014
Pages 395-398

  • Received 01 July 2014
  • Revised 23 August 2020
  • Accepted 24 December 2018

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