Bilateral pulmonary embolism while receiving tranexamic acid: a case report

Journal of Medical Case Reports

Ezekiel Oluwasayo Ijaopo¹  Sampson Adjei¹  Ruth Oluwasolape Ijaopo² 

[1] East Kent Hospitals University NHS Foundation Trust, William Harvey Hospital, Ashford, Kent, UK;University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, B15 2TH, Birmingham, UK;

关键词: Pulmonary embolism;    Venous thromboembolism;    Tranexamic acid;    Antifibrinolytic therapy;    Case report;   

DOI  :  10.1186/s13256-020-02545-z

来源: Springer

【 摘 要 】

BackgroundWe present a case of a suspected tranexamic acid–related bilateral pulmonary embolism in a healthy and active middle-aged woman who was receiving tranexamic acid for menorrhagia with no other known significant risk factors for thromboembolism.Case presentationA 46-year-old Asian woman who was usually fit and well with no remarkable past medical history except for menorrhagia of 1-year duration for which she was receiving tranexamic acid presented to our accident and emergency department with a 2-week history of intermittent pleuritic central chest pain. She was reviewed and discharged to home with a diagnosis of musculoskeletal pain on two hospital visits because she had no significant risk factors for thromboembolism and her workup investigation results for pulmonary embolism and other differential diagnoses were largely unremarkable. On her third visit to the emergency ambulatory clinic with recurring symptoms of pleuritic chest pain, a pulmonary computed tomographic angiogram confirmed bilateral subsegmental pulmonary embolism.ConclusionThis case report reinforces the possible increased risk of thromboembolism in patients receiving tranexamic acid.

【 授权许可】

CC BY