A 65-year-old gentleman with a previous history of pulmonary embolus presented with a subacute onset of shortness of breath, haemoptysis and chest pain associated with a swollen left leg.
Ultrasound Doppler scanning of the leg revealed no deep-vein thrombosis. Thereafter, a CT scan of the pulmonary vasculature revealed a large right-sided pulmonary embolus. CT scanning of the abdomen and pelvis was performed to look for evidence of an intra-abdominal source of thrombus and revealed evidence of a moderate sized pelvic mass causing obstructive uropathy. Urological review of the patient revealed a hard prostate and raised prostate specific antigen, consistent with a diagnosis of primary prostatic carcinoma, which after investigation with a radioisotope bone scan was found to have metastasised to the bony pelvis.
Written by:
Mukherjee SK, Panthagani A, Ramroop N, Al-Dujaily S. Are you the author?
Urology Department, Basildon & Thurrock University Hospital, Basildon, UK.
Reference: BMJ Case Rep. 2012 Sep 7;2012. pii: bcr1120115196.
doi: 10.1136/bcr.11.2011.5196
PubMed Abstract
PMID: 22962385
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