Spontaneously developed pulmonary arterial intramural hematoma that mimicked thromboembolism.
A 65-year-old woman visited our hospital with a complaint of acute onset dyspnea and radiological manifestations of pulmonary thromboembolism. The patient underwent an exploratory surgery to find a whitish-blue colored mass occupying almost the whole lumen of the main pulmonary arteries. Based on the pathological and radiological findings, the patient was diagnosed to have a pulmonary arterial intramural hematoma. Intramural hematomas are usually observed in the walls of the aorta, and we believe that an isolated intramural hematoma in the pulmonary artery has not been described previously.
Department of Radiology, Dong-A University College of Medicine, Busan 602-714, Korea.
Eun-Ju
EJ
Kang
Ki-Nam
KN
Lee
In
I
Kim
Jong-Min
JM
Chae
Gun-Jik
GJ
Kim
Dong Heon
DH
Yang
Jongmin
J
Lee
D000368:Aged; D003287:Contrast Media; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011651:Pulmonary Artery; D013923:Thromboembolism / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
D003287:Contrast Media