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Case Report
Massive proximal bilateral pulmonary embolism with severity signs
1 Cardiology Department of National League for the Fight Against Cardiovascular Diseases Rabat, University Mohamed V of Rabat, Morocco
2 Radiology Emergency Department of University Hospital Ibn Sina of Rabat, University Mohamed V of Rabat, Morocco
3 Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, USA
Address correspondence to:
Asaad El Bakkari
Radiology Emergency Department of University Hospital Ibn Sina of Rabat, University Mohamed V of Rabat,
Morocco
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Article ID: 101249Z01NS2021
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How to cite this article
Salmi N, El Bakkari A, Itani M, Bourouhou Z, El Ouartassi H, Fellat N, Jroundi L, Laamrani FZ. Massive proximal bilateral pulmonary embolism with severity signs. Int J Case Rep Images 2021;12:101249Z01NS2021.ABSTRACT
The diagnosis of pulmonary embolism is based on several distinct steps. Faced with the suspicion of pulmonary embolism, we are led to use a clinical probability score to guide the rest of the examinations. Revised Geneva score and the Wells score are the two best validated scores. They identify low-, medium-, and high-risk patients in a simple way. The third step, if the clinical probability is not high, is to assay the D-dimers. A negative result excludes pulmonary embolism with a negative predictive value close to 100%. The last step, if they are positive, is the chest angiography-computed tomography (CT) scan that can rule out or confirm pulmonary embolism and to search for severity signs.
Keywords: Angio-CT, Coma, Pulmonary embolism, Pulmonary embolism gravity signs
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Author Contributions
Najlaa Salmi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Asaad El Bakkari - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Malak Itani - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Zaineb Bourouhou - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hajar El Ouartassi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nadia Fellat - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Leila Jroundi - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Fatima Zahra Laamrani - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Najlaa Salmi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
