title: Venous Thromboembolism Due to Oral Contraceptive Intake and Spending Nights in a Vehicle -A Case from the 2016 Kumamoto Earthquakes.
abstract: A 40-year-old woman experiencing sudden dyspnea went to her personal doctor for advice. She was previously diagnosed with endometriosis and prescribed oral contraceptives for treatment. During earthquakes, she spent 7 nights sleeping in a vehicle. The patient had swelling and pain in her left leg and high D-dimer concentration levels. A contrast-enhanced computed tomography scan revealed a contrast deficit in the bilateral pulmonary artery and in the left lower extremity. She was diagnosed with pulmonary thromboembolism (PTE), and anticoagulation therapy was initiated. This present case is the first report of PTE attributed to the use of oral contraceptives after earthquakes.
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Sueta
authors.forename: Rika
authors.initials: R
authors.lastname: Akahoshi
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Okamura
authors.forename: Sunao
authors.initials: S
authors.lastname: Kojima
authors.forename: Tomokazu
authors.initials: T
authors.lastname: Ikemoto
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Yamamoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Izumiya
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tsujita
authors.forename: Koichi
authors.initials: K
authors.lastname: Kaikita
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Katabuchi
authors.forename: Seiji
authors.initials: S
authors.lastname: Hokimoto
mesh_terms: D000328:Adult; D001336:Automobiles; D003277:Contraceptives, Oral, Combined / Q000009:adverse effects*; D055866:Earthquakes; D005260:Female; D006801:Humans; D007103:Immobilization / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed; D054556:Venous Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology*
chemical_list: D003277:Contraceptives, Oral, Combined