Al-Mane Nader, Al-Mane Faisal, Abdalla Zein, McDonnell Joe
Naas General Hospital, Naas, Co. Kildare, Ireland.
Woodstock General Hospital, Woodstock, Ontario, Canada.
J Investig Med High Impact Case Rep. 2014 Jul 27;2(3):2324709614542339. doi: 10.1177/2324709614542339. eCollection 2014 Jul-Sep.
Background. Pulmonary embolism is a common and potentially lethal condition. Most patients who die from massive pulmonary embolism do so within the first few hours of the event. The clinical manifestations of pulmonary embolism are nonspecific, which makes the diagnosis difficult. Case Report. We present a case of massive pulmonary embolism presenting as an acute surgical abdomen that underwent exploratory laparotomy and made a complete recovery. Why should an emergency physician be aware of this? Emergency department physicians should be aware that massive pulmonary embolism could present as an acute surgical abdomen in young healthy individuals.
背景。肺栓塞是一种常见且可能致命的疾病。大多数死于大面积肺栓塞的患者在发病后的最初几个小时内死亡。肺栓塞的临床表现不具有特异性，这使得诊断困难。病例报告。我们报告一例以急性急腹症表现的大面积肺栓塞病例，该患者接受了剖腹探查术并完全康复。为什么急诊医生应该了解这一点？急诊科医生应该意识到，大面积肺栓塞在年轻健康个体中可能表现为急性急腹症。
