[Mediastinal and abdominal lymphoedema: consequence of massive pulmonary embolism with shock?].
Identifieur interne : 000564 ( France/Analysis ); précédent : 000563; suivant : 000565[Mediastinal and abdominal lymphoedema: consequence of massive pulmonary embolism with shock?].
Auteurs : J. Morel [France] ; P. Mahul ; M. Cuilleron ; I. Court-Fortune ; R. Jospé ; A. Dumont ; C. AuboyerSource :
- Annales francaises d'anesthesie et de reanimation [ 0750-7658 ] ; 2004.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème, Maladies du médiastin.
- étiologie : Lymphoedème, Maladies du médiastin.
- Abdomen, Adulte d'âge moyen, Choc, Embolie pulmonaire, Femelle, Humains, Indice de gravité médicale, Radiographie abdominale, Tomodensitométrie.
English descriptors
- KwdEn :
- Abdomen, Female, Humans, Lymphedema (diagnostic imaging), Lymphedema (etiology), Mediastinal Diseases (diagnostic imaging), Mediastinal Diseases (etiology), Middle Aged, Pulmonary Embolism (complications), Radiography, Abdominal, Severity of Illness Index, Shock (complications), Tomography, X-Ray Computed.
- MESH :
- complications : Pulmonary Embolism, Shock.
- diagnostic imaging : Lymphedema, Mediastinal Diseases.
- etiology : Lymphedema, Mediastinal Diseases.
- Abdomen, Female, Humans, Middle Aged, Radiography, Abdominal, Severity of Illness Index, Tomography, X-Ray Computed.
Abstract
We report a case of severe pulmonary embolism diagnosed using spiral CT-scan in a patient admitted for shock associated with acute abdominal symptoms. Intraluminal clots images were visualized associated with an infiltration of mediastinal fat. Abdominal CT showed infiltration of the hepatobiliary hilum. After thrombolysis, the clinical thoracic and abdominal symptoms improved. A CT-scan at the 48(th) hour showed that the thoracic and abdominal features had disappeared. We emphasize the misleading aspect of the CT-scan images and we speculated that this infiltration could reflect the abdominal and mediastinal lymphoedema.
DOI: 10.1016/j.annfar.2003.11.013
PubMed: 15030863
Affiliations:
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pubmed:15030863Le document en format XML
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Morel</name><affiliation wicri:level="1"><nlm:affiliation>Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne</wicri:regionArea><wicri:noRegion>CHU de Saint-Etienne</wicri:noRegion><wicri:noRegion>CHU de Saint-Etienne</wicri:noRegion></affiliation></author><author><name sortKey="Mahul, P" sort="Mahul, P" uniqKey="Mahul P" first="P" last="Mahul">P. Mahul</name></author><author><name sortKey="Cuilleron, M" sort="Cuilleron, M" uniqKey="Cuilleron M" first="M" last="Cuilleron">M. Cuilleron</name></author><author><name sortKey="Court Fortune, I" sort="Court Fortune, I" uniqKey="Court Fortune I" first="I" last="Court-Fortune">I. Court-Fortune</name></author><author><name sortKey="Jospe, R" sort="Jospe, R" uniqKey="Jospe R" first="R" last="Jospé">R. Jospé</name></author><author><name sortKey="Dumont, A" sort="Dumont, A" uniqKey="Dumont A" first="A" last="Dumont">A. Dumont</name></author><author><name sortKey="Auboyer, C" sort="Auboyer, C" uniqKey="Auboyer C" first="C" last="Auboyer">C. Auboyer</name></author></analytic><series><title level="j">Annales francaises d'anesthesie et de reanimation</title><idno type="ISSN">0750-7658</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Mediastinal Diseases (diagnostic imaging)</term><term>Mediastinal Diseases (etiology)</term><term>Middle Aged</term><term>Pulmonary Embolism (complications)</term><term>Radiography, Abdominal</term><term>Severity of Illness Index</term><term>Shock (complications)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abdomen</term><term>Adulte d'âge moyen</term><term>Choc ()</term><term>Embolie pulmonaire ()</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Maladies du médiastin (imagerie diagnostique)</term><term>Maladies du médiastin (étiologie)</term><term>Radiographie abdominale</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Pulmonary Embolism</term><term>Shock</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term><term>Mediastinal Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Mediastinal Diseases</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Maladies du médiastin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Maladies du médiastin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abdomen</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Radiography, Abdominal</term><term>Severity of Illness Index</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abdomen</term><term>Adulte d'âge moyen</term><term>Choc</term><term>Embolie pulmonaire</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Radiographie abdominale</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report a case of severe pulmonary embolism diagnosed using spiral CT-scan in a patient admitted for shock associated with acute abdominal symptoms. Intraluminal clots images were visualized associated with an infiltration of mediastinal fat. Abdominal CT showed infiltration of the hepatobiliary hilum. After thrombolysis, the clinical thoracic and abdominal symptoms improved. A CT-scan at the 48(th) hour showed that the thoracic and abdominal features had disappeared. We emphasize the misleading aspect of the CT-scan images and we speculated that this infiltration could reflect the abdominal and mediastinal lymphoedema.</div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><noCountry><name sortKey="Auboyer, C" sort="Auboyer, C" uniqKey="Auboyer C" first="C" last="Auboyer">C. Auboyer</name><name sortKey="Court Fortune, I" sort="Court Fortune, I" uniqKey="Court Fortune I" first="I" last="Court-Fortune">I. Court-Fortune</name><name sortKey="Cuilleron, M" sort="Cuilleron, M" uniqKey="Cuilleron M" first="M" last="Cuilleron">M. 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