-transparent.png){kind=logo}
We report a fatal case of occult pulmonary embolism complicating bronchogenic carcinoma which presented with rapidly progressive pulmonary miliary shadows and respiratory failure. A clotting profile abnormality compatible with disseminated intravascular coagulation was noted. Postmortem examination showed extensive clots occluding the major pulmonary vessels and areas of pulmonary infarcts. Histologic examination revealed fibrin deposition in the microvasculature compatible with DIC. Cases of pulmonary embolism with DIC have previously been reported, but this is the first case with pathologic confirmation. Thus, unusual presentation with diffuse lung shadow and DIC should not deter the clinician from correct diagnosis so that appropriate treatment can be promptly started.
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
September 1987,
Kekkaku : [Tuberculosis],
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
September 1972,
Archives of internal medicine,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
April 2002,
Hong Kong medical journal = Xianggang yi xue za zhi,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
May 1992,
Hawaii medical journal,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
May 1984,
The American journal of medicine,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
April 2017,
Oxford medical case reports,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
January 1975,
Bilten za hematologiju i transfuziju,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
March 1997,
Internal medicine (Tokyo, Japan),
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
July 2010,
Journal of thrombosis and haemostasis : JTH,
C K Wong, and
C P Lau, and
C H Cheng, and
W F Ng
August 2005,
Hong Kong medical journal = Xianggang yi xue za zhi,
