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A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female

INTRODUCTION: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic. CASE REPORT: A...

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Detalles Bibliográficos
Autores principales: Guerrero, Angel, Theophanous, Rebecca G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434267/
https://www.ncbi.nlm.nih.gov/pubmed/32926706
http://dx.doi.org/10.5811/cpcem.2020.5.47463
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author Guerrero, Angel
Theophanous, Rebecca G.
author_facet Guerrero, Angel
Theophanous, Rebecca G.
author_sort Guerrero, Angel
collection PubMed
description INTRODUCTION: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic. CASE REPORT: A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion. CONCLUSION: Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.
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spelling pubmed-74342672020-08-20 A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female Guerrero, Angel Theophanous, Rebecca G. Clin Pract Cases Emerg Med Case Report INTRODUCTION: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic. CASE REPORT: A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion. CONCLUSION: Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-07-09 /pmc/articles/PMC7434267/ /pubmed/32926706 http://dx.doi.org/10.5811/cpcem.2020.5.47463 Text en Copyright: © 2020 Guerrero et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Guerrero, Angel
Theophanous, Rebecca G.
A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title_full A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title_fullStr A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title_full_unstemmed A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title_short A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
title_sort case report of a migrated pelvic coil causing pulmonary infarct in an adult female
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434267/
https://www.ncbi.nlm.nih.gov/pubmed/32926706
http://dx.doi.org/10.5811/cpcem.2020.5.47463
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