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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Pelvic Congestion Syndrome Presenting with Massive Pulmonary Embolism
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Pelvic Congestion Syndrome Presenting with Massive Pulmonary Embolism

机译：含有大规模肺栓塞的盆腔充血综合征

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Pelvic Congestion Syndrome (PCS) causes chronic pelvic pain due to incompetent, dilated pelvic veins. Inferior Vena Cava (IVC)thrombosis can either be a cause or effect of PCS. Pulmonary embolism in such a setting is rare with only a few reported casestill date. A heightened awareness and clinical suspicion for the specific symptomatology and associated findings are necessaryto prevent catastrophe. This report is about a rare case in a young multiparous female with overlooked chronic pelvic pain, due toPCS presenting with breathlessness and hypotension. On evaluation, her echocardiogram revealed dilated right sided chambers,large thrombus in IVC and right pulmonary artery. Troponin was elevated. Computed Tomography (CT) scan confirmed massivepulmonary embolism along with presence of dilated pelvic plexus and dilated right ovarian vein. She was successfully treated withsystemic thrombolysis followed by oral anticoagulation.
机译：盆腔充血综合征（PCS）引起慢性盆腔疼痛由于无能，扩张的骨盆静脉。下腔静脉（IVC）血栓形成可以是PC的原因或效果。在这种环境中的肺栓塞是罕见的，只有少数报道的急流日期。对特定症状和相关调查结果的提高和临床怀疑是预防灾难所必需的。这份报告是一个罕见的慢性骨盆疼痛的年轻多体女性罕见的案例，由于呼吸困难和低血压呈现圆形。在评价中，她的超声心动图揭示了IVC和右肺动脉的扩张右侧腔室，大血栓。肌钙蛋白升高。计算机断层扫描（CT）扫描确认的MassivePilonγ栓塞以及存在扩张的骨盆丛并扩张右卵巢静脉。她已成功治疗系统性溶栓，然后是口服抗凝。

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