Management of Submassive Bilateral Pulmonary Embolism in an Adolescent Female

Autor: Lim, Adeline Yi Ling, Roy, John, Kevat, Ajay
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Pulmonology.
ISSN: 2090-6846
DOI: 10.1155/2021/1678528
Popis: Pulmonary embolism (PE) is a rare presentation in the pediatric population. We report a case of submassive PE in an adolescent female following commencement of a combined oral contraceptive pill (COCP). In the setting of cardiac dysfunction, she received systemic thrombolysis with significant reduction of clot burden and clinical improvement objectively demonstrated shortly thereafter. This case highlights challenges in clinical decision-making regarding surgical or catheter-based interventions versus medical management approaches when addressing life-threatening PE in children. Our case demonstrates that submassive PE in pediatrics can be managed successfully with systemic thrombolysis and therapeutic anticoagulation.
Databáze: OpenAIRE
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