A new possible acquired risk factor for pulmonary embolism: Colonoscopy procedure

Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 3

Abstract

Knowing the risk factors of PE contributes to the promptness of diagnosis and treatment. Although most patients with pulmonary embolism (PE) have acquired or hereditary risk factors, the cause of PE is unknown in one-quarter of patients. We describe a 66-year-old man who presented with chest pain, dyspnea, and hemoptysis one day after he had a colonoscopy performed due to chronic constipation complaints. The computed tomography pulmonary angiography revealed thrombus in the left peripheral pulmonary artery. He did not have any risk factors for PE, and a hypercoagulable workup was normal. Because of his development of PE one day after his colonoscopy and the absence of any risk factors, the colonoscopy could have caused the PE. PE may be caused by increased intra-abdominal pressure during this procedure. This is the first case of PE following a colonoscopy in the literature. We recommend that patients with idiopathic PE should be questioned aspect of invasive procedures such as colonoscopy. Key words: Pulmonary embolism; risk factor; colonoscopy

Authors and Affiliations

Talat Kılıç, Hilal Ermiş, Omar Kaya, Hakan Alan

Keywords

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  • EP ID EP105397
  • DOI 10.5798/diclemedj.0921.2014.03.0477
  • Views 109
  • Downloads 0

How To Cite

Talat Kılıç, Hilal Ermiş, Omar Kaya, Hakan Alan (2014). A new possible acquired risk factor for pulmonary embolism: Colonoscopy procedure. Dicle Tıp Dergisi, 41(3), 577-580. https://europub.co.uk/articles/-A-105397