Pulmonary Embolism Presenting As Shoulder and Back Pain: A Case Report
Pulmonary embolism (PE) is a common but life-threatening condition, and diagnosis can be challenging. Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have deline...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e64016 |
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| creator | Nwaneri, Chukwuemeka Race, Rebecca Oladele, Romoluwa Kumaran, Subramanian |
| description | Pulmonary embolism (PE) is a common but life-threatening condition, and diagnosis can be challenging. Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have delineated shoulder and back pain as an atypical sign of PE. However, the significant amount of misdiagnosis highlights the importance of other rare symptoms of this potentially fatal disease. Therefore, eliciting these rare presenting symptoms can significantly reduce morbidity and mortality. Here, we report the case of a patient who, 13 days after a laparoscopic Nissen fundoplication, presented to the emergency department (ED) with left shoulder and left-sided pleuritic back pain. She was managed in the resuscitation area in the ED and was subsequently diagnosed with a left-sided PE. Her care was taken over by the medical team, and she continued her recovery in the acute medical unit. |
| doi_str_mv | 10.7759/cureus.64016 |
| format | Article |
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Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have delineated shoulder and back pain as an atypical sign of PE. However, the significant amount of misdiagnosis highlights the importance of other rare symptoms of this potentially fatal disease. Therefore, eliciting these rare presenting symptoms can significantly reduce morbidity and mortality. Here, we report the case of a patient who, 13 days after a laparoscopic Nissen fundoplication, presented to the emergency department (ED) with left shoulder and left-sided pleuritic back pain. She was managed in the resuscitation area in the ED and was subsequently diagnosed with a left-sided PE. 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This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Nwaneri et al. 2024 Nwaneri et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-b39cdc04ebdb9daa10e5b9e07f72ee7b1ee6f31f80ebb691c4d8ec634a971e803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302394/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302394/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39109122$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nwaneri, Chukwuemeka</creatorcontrib><creatorcontrib>Race, Rebecca</creatorcontrib><creatorcontrib>Oladele, Romoluwa</creatorcontrib><creatorcontrib>Kumaran, Subramanian</creatorcontrib><title>Pulmonary Embolism Presenting As Shoulder and Back Pain: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Pulmonary embolism (PE) is a common but life-threatening condition, and diagnosis can be challenging. 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Her care was taken over by the medical team, and she continued her recovery in the acute medical unit.</description><subject>Abdomen</subject><subject>Antibiotics</subject><subject>Anticoagulants</subject><subject>Back pain</subject><subject>Blood</subject><subject>Cardiac arrest</subject><subject>Cardiac arrhythmia</subject><subject>Case reports</subject><subject>Drug dosages</subject><subject>Electrocardiography</subject><subject>Emergency Medicine</subject><subject>Heart attacks</subject><subject>Hemoptysis</subject><subject>Internal Medicine</subject><subject>Laparoscopy</subject><subject>Leukocytes</subject><subject>Mortality</subject><subject>Neutrophils</subject><subject>Oxygen saturation</subject><subject>Patients</subject><subject>Pleural effusion</subject><subject>Pneumonia</subject><subject>Pneumothorax</subject><subject>Pulmonary arteries</subject><subject>Pulmonary embolisms</subject><subject>Pulmonology</subject><subject>Surgery</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkU1P3DAQhq0KVBDsrefKEhcOLJ2xs7HNBS0rtq2E1FU_zpbtTCA0iRd7g8S_J7AUQU8z0jx6Na8exj4hnCo1M1_CkGjIp2UBWH5g-wJLPdWoi503-x6b5HwLAAhKgIKPbE8aBINC7LPlami72Lv0wC87H9smd3yVKFO_afprPs_8100c2ooSd33FL1z4y1eu6c_4nC9cJv6T1jFtDtlu7dpMk5d5wP4sL38vvk2vfnz9vphfTYME2Ey9NKEKUJCvvKmcQ6CZNwSqVoJIeSQqa4m1BvK-NBiKSlMoZeGMQtIgD9j5Nnc9-I6qML6ZXGvXqenGCja6xr6_9M2NvY73FlGCkKYYE45fElK8GyhvbNfkQG3reopDthK00RrNTIzo0X_obRxSP_YbKWOEKBXgSJ1sqZBizonq128Q7JMku5VknyWN-Oe3DV7hf0rkI1xSjkc</recordid><startdate>20240707</startdate><enddate>20240707</enddate><creator>Nwaneri, Chukwuemeka</creator><creator>Race, Rebecca</creator><creator>Oladele, Romoluwa</creator><creator>Kumaran, Subramanian</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240707</creationdate><title>Pulmonary Embolism Presenting As Shoulder and Back Pain: A Case Report</title><author>Nwaneri, Chukwuemeka ; 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Diagnosis is even more difficult in those patients with atypical presentations such as the absence of pleuritic chest pain, dyspnoea, tachycardia, or symptoms of deep vein thrombosis. We have delineated shoulder and back pain as an atypical sign of PE. However, the significant amount of misdiagnosis highlights the importance of other rare symptoms of this potentially fatal disease. Therefore, eliciting these rare presenting symptoms can significantly reduce morbidity and mortality. Here, we report the case of a patient who, 13 days after a laparoscopic Nissen fundoplication, presented to the emergency department (ED) with left shoulder and left-sided pleuritic back pain. She was managed in the resuscitation area in the ED and was subsequently diagnosed with a left-sided PE. 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| source | PubMed Central Open Access; PubMed Central |
| subjects | Abdomen Antibiotics Anticoagulants Back pain Blood Cardiac arrest Cardiac arrhythmia Case reports Drug dosages Electrocardiography Emergency Medicine Heart attacks Hemoptysis Internal Medicine Laparoscopy Leukocytes Mortality Neutrophils Oxygen saturation Patients Pleural effusion Pneumonia Pneumothorax Pulmonary arteries Pulmonary embolisms Pulmonology Surgery Veins & arteries |
| title | Pulmonary Embolism Presenting As Shoulder and Back Pain: A Case Report |
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