Nwaneri Chukwuemeka, Race Rebecca, Oladele Romoluwa, Kumaran Subramanian
Emergency Medicine Department, Shrewsbury and Telford NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Emergency Medicine Department, The Shrewsbury and Telford Hospital NHS Trust, The Royal Shrewsbury Hospital, Shrewsbury, GBR.
Cureus. 2024 Jul 7;16(7):e64016. doi: 10.7759/cureus.64016. eCollection 2024 Jul.
Pulmonary embolism (PE) is a common but life-threatening condition, and diagnosis can be challenging. Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have delineated shoulder and back pain as an atypical sign of PE. However, the significant amount of misdiagnosis highlights the importance of other rare symptoms of this potentially fatal disease. Therefore, eliciting these rare presenting symptoms can significantly reduce morbidity and mortality. Here, we report the case of a patient who, 13 days after a laparoscopic Nissen fundoplication, presented to the emergency department (ED) with left shoulder and left-sided pleuritic back pain. She was managed in the resuscitation area in the ED and was subsequently diagnosed with a left-sided PE. Her care was taken over by the medical team, and she continued her recovery in the acute medical unit.
肺栓塞（PE）是一种常见但危及生命的疾病，其诊断可能具有挑战性。对于那些表现不典型的患者，如无胸膜炎性胸痛、呼吸困难、心动过速或深静脉血栓形成症状的患者，诊断更加困难。我们已将肩痛和背痛确定为PE的非典型体征。然而，大量的误诊凸显了这种潜在致命疾病其他罕见症状的重要性。因此，引出这些罕见的症状表现可显著降低发病率和死亡率。在此，我们报告一例患者，该患者在腹腔镜下尼氏胃底折叠术13天后因左肩和左侧胸膜炎性背痛就诊于急诊科（ED）。她在ED的复苏区接受治疗，随后被诊断为左侧PE。她的护理由医疗团队接管，她在急性医疗单元继续康复。
