Al-Ramadhan Maryam A, Al-Janobi Amena A
Internal Medicine, Qatif Central Hospital, Qatif, SAU.
Internal and Pulmonary Medicine, Qatif Central Hospital, Qatif, SAU.
Cureus. 2023 Jun 3;15(6):e39924. doi: 10.7759/cureus.39924. eCollection 2023 Jun.
Pulmonary embolism can be a challenging condition for physicians to manage. They often have to diagnose this disease with a high fatality rate via the presence of non-specific symptoms. Another unusual presentation is abdominal pain, which can delay diagnosis due to a broad differential. We report the case of a 30-year-old female with a history of sickle cell anemia who presented to the Emergency Department with several days of right flank pain and urinary symptoms. Unfortunately, her initial urine analysis and chest radiograph could have been misdiagnosed as pyelonephritis. Early diagnosis and timely treatment are critical factors in reducing the mortality rate from pulmonary embolism.
肺栓塞对医生来说可能是一种具有挑战性的病症。他们常常不得不通过非特异性症状来诊断这种死亡率很高的疾病。另一种不寻常的表现是腹痛，由于鉴别诊断范围广泛，这可能会延迟诊断。我们报告一例30岁女性病例，她有镰状细胞贫血病史，因右侧胁腹疼痛和泌尿系统症状数天而就诊于急诊科。不幸的是，她最初的尿液分析和胸部X光片可能被误诊为肾盂肾炎。早期诊断和及时治疗是降低肺栓塞死亡率的关键因素。
