A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female
Journal Title
Journal ISSN
Volume Title
Repository Usage Stats
views
downloads
Citation Stats
Attention Stats
Abstract
<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>
Type
Department
Description
Provenance
Subjects
Citation
Permalink
Published Version (Please cite this version)
Publication Info
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.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
Collections
Scholars@Duke
Rebecca George Theophanous
Rebecca Theophanous, MD, MHSc, FAEMUS is an Emergency Ultrasound Faculty at Duke University Hospital and the Durham VA Healthcare System.
She is actively involved with clinical ultrasound education, teaching residents and students on shift, performing weekly ultrasound image review, presenting monthly advanced ultrasound talks, and teaching at monthly resident simulation sessions.
Her first-author publications investigate the diagnostic utility and accuracy of 3D ultrasound for assessing ocular complaints, and she developed a point-of-care ultrasound implementation intervention for VA clinicians (funded by an SAEMF/AEUS grant in 2022-2023). Furthermore, she completed a Master of Health Sciences degree through Duke’s Clinical Research Training Program and served as site PI for the Reason3 POCUS in cardiac arrest trial. Her recent SAEM ARMED MedEd studies involve implementation and testing of POCUS simulation-training methods (nerve block training funded by SAEMF), resident and faculty development, and POCUS competency testing.
Dr. Theophanous leads as an AAEM-EUS councilor and SCUF Education fellowship curriculum subcommittee lead. She has presented both didactic and research-based talks at national conferences and has experience writing POCUS guidelines and policy on her hospital’s POCUS taskforce. Finally, she is a reviewer for multiple medical journals, including for the Journal of Ultrasound in Medicine.
Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.