Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism

Background  Cardiac non-Hodgkin's lymphoma is rare and has a poor prognosis. Here we report a rare case mimicking pulmonary embolism. Case Description  A 38-year-old woman suffered from severe dyspnea after cesarean section. With the clinical picture of fulminant central pulmonary embolism, lys...

Descripción completa

Detalles Bibliográficos
Autores principales: Irqsusi, Marc, Gerlach, Susanne von, Rastan, Ardawan Julian, Ghazy, Tamer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040259/
https://www.ncbi.nlm.nih.gov/pubmed/36987438
http://dx.doi.org/10.1055/s-0043-1764473
_version_ 1784912439911907328
author Irqsusi, Marc
Gerlach, Susanne von
Rastan, Ardawan Julian
Ghazy, Tamer
author_facet Irqsusi, Marc
Gerlach, Susanne von
Rastan, Ardawan Julian
Ghazy, Tamer
author_sort Irqsusi, Marc
collection PubMed
description Background  Cardiac non-Hodgkin's lymphoma is rare and has a poor prognosis. Here we report a rare case mimicking pulmonary embolism. Case Description  A 38-year-old woman suffered from severe dyspnea after cesarean section. With the clinical picture of fulminant central pulmonary embolism, lysis therapy was initiated. Further deterioration necessitated extracorporeal membrane oxygenation (ECMO) support and cardiosurgical intervention. Intraoperatively, a massive intravascular tumor obstructed the pulmonary bifurcation and was found to be B-cell lymphoma. Aggressive excision and pulmonary tree reconstruction improved the critical condition and initiated convalescence. Conclusion  High suspicion in central pulmonary embolism and early cardiosurgical therapy after ineffective lysis are essential.
format Online
Article
Text
id pubmed-10040259
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Georg Thieme Verlag KG
record_format MEDLINE/PubMed
spelling pubmed-100402592023-03-27 Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism Irqsusi, Marc Gerlach, Susanne von Rastan, Ardawan Julian Ghazy, Tamer Thorac Cardiovasc Surg Rep Background  Cardiac non-Hodgkin's lymphoma is rare and has a poor prognosis. Here we report a rare case mimicking pulmonary embolism. Case Description  A 38-year-old woman suffered from severe dyspnea after cesarean section. With the clinical picture of fulminant central pulmonary embolism, lysis therapy was initiated. Further deterioration necessitated extracorporeal membrane oxygenation (ECMO) support and cardiosurgical intervention. Intraoperatively, a massive intravascular tumor obstructed the pulmonary bifurcation and was found to be B-cell lymphoma. Aggressive excision and pulmonary tree reconstruction improved the critical condition and initiated convalescence. Conclusion  High suspicion in central pulmonary embolism and early cardiosurgical therapy after ineffective lysis are essential. Georg Thieme Verlag KG 2023-03-26 /pmc/articles/PMC10040259/ /pubmed/36987438 http://dx.doi.org/10.1055/s-0043-1764473 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Irqsusi, Marc
Gerlach, Susanne von
Rastan, Ardawan Julian
Ghazy, Tamer
Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title_full Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title_fullStr Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title_full_unstemmed Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title_short Invasive Giant B-Cell Lymphoma Mimicking Fulminant Pulmonary Embolism
title_sort invasive giant b-cell lymphoma mimicking fulminant pulmonary embolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040259/
https://www.ncbi.nlm.nih.gov/pubmed/36987438
http://dx.doi.org/10.1055/s-0043-1764473
work_keys_str_mv AT irqsusimarc invasivegiantbcelllymphomamimickingfulminantpulmonaryembolism
AT gerlachsusannevon invasivegiantbcelllymphomamimickingfulminantpulmonaryembolism
AT rastanardawanjulian invasivegiantbcelllymphomamimickingfulminantpulmonaryembolism
AT ghazytamer invasivegiantbcelllymphomamimickingfulminantpulmonaryembolism

Ejemplares similares