A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
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<jats:p>Introduction: It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic.
Case report: A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion.
Conclusion: Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.</jats:p>
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Guerrero, Angel, and Rebecca G Theophanous (n.d.). A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female. Clinical Practice and Cases in Emergency Medicine, 4(3). pp. 436–439. 10.5811/cpcem.2020.5.47463 Retrieved from https://hdl.handle.net/10161/22602.
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Rebecca George Theophanous
Rebecca Theophanous, MD, MHSc is an Emergency Ultrasound Faculty at Duke University Hospital and the Durham VA Healthcare System. Her research involves identifying facilitators and barriers to implementation of a new emergency ultrasound program at the Durham VAHCS and its impact on clinical care for future dissemination. She is also studying 3DUS technology at Duke as an innovative bedside tool and training ED providers on ultrasound. Her academic interests include medical education, with a focus on ultrasound and critical care.
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