Open AccessEmbolized prostatic brachytherapy seeds mimicking acute chest pain syndromes
Author(s) -
Nirmal Guragai,
Upamanyu Rampal,
Rahul Vasudev
Publication year - 2017
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_179_17
Subject(s) - medicine , chest pain , brachytherapy , embolization , prostate cancer , radiology , coronary artery disease , prostate , diabetes mellitus , cardiology , cancer , radiation therapy , endocrinology
A 59-year-old male with a history of nonobstructive coronary artery disease, diabetes mellitus, hypertension, and prostate cancer presented to the hospital with 1-day history of pleuritic chest pain. Initial workup for acute coronary event was unremarkable. Chest X-ray revealed multiple small radial densities which were linear and hyperdense, consistent with embolization of metallic seeds to the pulmonary circulation. The patient was noted to have had radioactive metallic seeds implanted for prostate cancer 6 months ago. Diagnosis of pulmonary embolization of prostatic seeds is challenging as they frequently present with chest pain mimicking acute coronary syndromes.