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Subacute cor pulmonale due to microscopic pulmonary tumour cell embolization
Author(s) -
LAMBERTJENSEN P.,
MERTZ H.,
NYVAD O.,
CHRISTENSEN J. HAGSTRUP
Publication year - 1994
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1111/j.1365-2796.1994.tb00852.x
Subject(s) - medicine , autopsy , pulmonary hypertension , occult , pulmonary embolism , lung , ovarian carcinoma , respiratory distress , circulatory system , pathology , respiratory failure , carcinosis , gross examination , heart failure , peritoneum , radiology , cardiology , ovarian cancer , cancer , peritoneal carcinomatosis , alternative medicine , colorectal cancer
. A case of a clinically occult ovarian carcinoma leading to subacute cor pulmonale in a 62‐year‐old woman is described. The patient was admitted to hospital with increasing respiratory distress. Physical examination and echocardiography showed signs of pulmonary hypertension. She died from circulatory failure. Autopsy revealed a bilateral ovarian carcinoma with diffuse carcinosis of the peritoneum. No gross evidence of pulmonary embolism was present, but microscopic investigation revealed tumour‐related microangiopathic lesions causing the lethal pulmonary hypertension.