Karila-Cohen D, Mentec H, Bleichner G
Service de Reanimation Polyvalente et Urgences, Centre Hospitalier Victor Dupouy, Cedex, France.
Intensive Care Med. 1995 Dec;21(12):1036-8. doi: 10.1007/BF01700669.
We report the case of a young man hospitalized because of an acute pulmonary embolism presenting as a focal pulmonary edema, without evidence of left ventricular failure. This pulmonary embolism was caused by a testicular choriocarcinoma that entailed both a neoplastic venous involvement with pulmonary neoplastic embolism, and a compression of inferior vena cava with thrombosis and subsequent pulmonary thromboembolism. This case combines two unusual associations: (i) Pulmonary embolism causing a localized pulmonary edema, (ii) Neoplastic pulmonary embolism of a testicular choriocarcinoma.
我们报告了一名年轻男性因急性肺栓塞住院的病例,该肺栓塞表现为局灶性肺水肿,且无左心室衰竭的证据。此肺栓塞由睾丸绒毛膜癌引起,既涉及肿瘤性静脉受累伴肺部肿瘤性栓塞,又涉及下腔静脉受压伴血栓形成及随后的肺血栓栓塞。该病例合并了两种不寻常的关联:(i)肺栓塞导致局限性肺水肿,(ii)睾丸绒毛膜癌的肿瘤性肺栓塞。