Year 2024 / Volume 116 / Number 12
Letter
Pulmonary embolism caused by hepatocellular carcinoma with tumor thrombus extending from hepatic veins into the inferior vena cava and right atrium

729-730

DOI: 10.17235/reed.2023.10113/2023

Xiaokun Li, Lihua Wang, Jun Li,

Abstract
A 63-year-old man presented to emergency department with a 2-hour history of chest tightness and suffocation. The oxygen saturation was 50% while he was breathing ambient air. Laboratory evaluation revealed D2 polymer level, 0.69 mg/L (reference range, 0 to 0.50), activated partial thromboplastin time, 75.0 s (reference range, 28.0 to 43.5). Computed tomography angiography of the chest showed thrombus in the right pulmonary artery, inferior vena cava and right atrium. Coronal view also demonstrated a hepatic mass with a massive neovascularization, extending from hepatic veins into the inferior vena cava.
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References
1. Wu CH, Wong YC, Wu MY, et al. Education and imaging: hepatobiliary and pancreatic: fatal tumor embolism caused by hepatocellular carcinoma. J Gastroenterol Hepatol 2013;28:380.
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Li X, Wang L, Li J. Pulmonary embolism caused by hepatocellular carcinoma with tumor thrombus extending from hepatic veins into the inferior vena cava and right atrium. 10113/2023


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Publication history

Received: 23/11/2023

Accepted: 23/11/2023

Online First: 30/11/2023

Published: 13/12/2024

Article Online First time: 7 days

Article editing time: 386 days


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