Bilateral pulmonary embolism while receiving tranexamic acid: a case report.

Ijaopo, Ezekiel Oluwasayo, Ijaopo, Ruth Oluwasolape and Adjei, Sampson (2020) Bilateral pulmonary embolism while receiving tranexamic acid: a case report. Journal of medical case reports, 14 (1). p. 212. ISSN 1752-1947. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

BACKGROUND

We 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 PRESENTATION

A 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.

CONCLUSION

This case report reinforces the possible increased risk of thromboembolism in patients receiving tranexamic acid.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Respiratory Medicine
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Depositing User: Jamie Edgar
Date Deposited: 23 Nov 2020 11:05
Last Modified: 23 Nov 2020 11:05
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3701

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