A Case Report: Cavitary Infarction Caused by Pulmonary Tumor Thrombotic Microangiopathy in a Patient with Pancreatic Intraductal Papillary Mucinous Neoplasm.
10.3348/kjr.2015.16.4.936
- Author:
Kyoungkyg BAE
1
;
Woon Jung KWON
;
Seong Hoon CHOI
;
Jong Hwa LEE
;
Hee Jeong CHA
Author Information
1. Department of Diagnostic Radiology, Ulsan University Hospital, University of Ulsan School of Medicine, Ulsan 682-714, Korea. becareful1234@hanmail.net
- Publication Type:Case Reports
- Keywords:
Pulmonary embolism;
Tumor embolism;
Pulmonary tumor thrombotic microangiopathy;
Pulmonary infarction;
Intraductal papillary mucinous neoplasm
- MeSH:
Adenocarcinoma, Mucinous/pathology/radiography;
Humans;
Lung/pathology/*radiography;
Lung Neoplasms/pathology/radiography;
Male;
Middle Aged;
Pancreas/pathology;
Pancreatic Neoplasms/*complications/pathology;
Papilloma, Intraductal/pathology/radiography;
Pulmonary Embolism/pathology/*radiography;
Pulmonary Infarction/pathology/*radiography;
Thrombotic Microangiopathies/diagnosis/*radiography;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2015;16(4):936-941
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary tumor embolism is commonly discovered at autopsy, but is rarely suspected ante-mortem. Microangiopathy is an uncommon and distinct form of simple tumor pulmonary embolism. Here, we present a 52-year-old male with tumor thrombotic microangiopathy and pulmonary infarction, which might have originated from intraductal papillary mucinous tumor of the pancreas. Multiple wedge-shaped consolidations were found initially and aggravated with cavitation. These CT features of pulmonary infarction were pathologically confirmed to result from pulmonary tumor thrombotic microangiopathy.
