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Diarrhea as initial manifestation of pulmonary artery intimal sarcoma: a case report and literature review

Pulmonary artery intimal sarcoma (PAIS) is a rare malignant tumor that presents with nonspecific symptoms and may be misdiagnosed as thromboembolic disease. We report a case of a 40-year-old female who presented with diarrhea as the initial symptom, was misdiagnosed and received thrombolytic therapy...

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Detalles Bibliográficos
Autores principales: Xu, Xiaoling, Zhang, Ruifeng, Hu, Huihui, Ye, Wu, Wang, Jin, Chen, Liying, Qiu, Lijun, Ying, Kejing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583115/
https://www.ncbi.nlm.nih.gov/pubmed/26425101
http://dx.doi.org/10.2147/OTT.S90933
Descripción
Sumario:Pulmonary artery intimal sarcoma (PAIS) is a rare malignant tumor that presents with nonspecific symptoms and may be misdiagnosed as thromboembolic disease. We report a case of a 40-year-old female who presented with diarrhea as the initial symptom, was misdiagnosed and received thrombolytic therapy for presumed pulmonary embolism. Progressive symptoms and subsequent surgery led to the diagnosis of PAIS, and early relapse after pulmonary endarterectomy. Her survival time was 17 months after pulmonary endarterectomy. To our knowledge, diarrhea as initial manifestation of PAIS has not been described.