[Mediastinal and abdominal lymphoedema: consequence of massive pulmonary embolism with shock?].
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.
Morel
J
J
Service de réanimation polyvalente, hôpital Nord, CHU de Saint-Etienne, France.
Mahul
P
P
Cuilleron
M
M
Court-Fortune
I
I
Jospé
R
R
Dumont
A
A
Auboyer
C
C
D000005:Abdomen; D005260:Female; D006801:Humans; D008209:Lymphedema / Q000000981:diagnostic imaging / Q000209:etiology*; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications*; D011860:Radiography, Abdominal; D012720:Severity of Illness Index; D012769:Shock / Q000150:complications*; D014057:Tomography, X-Ray Computed