Bilateral pulmonary embolism while receiving tranexamic acid: a case report
Ijaopo, Ezekiel Oluwasayo Ijaopo, Ruth Oluwasolape Adjei, Sampson
Ijaopo, Ezekiel Oluwasayo
Ijaopo, Ruth Oluwasolape
Adjei, Sampson
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Affiliation
East Kent Hospitals University NHS Foundation Trust; University Hospitals Birmingham NHS Foundation Trust
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Publication date
2020-11-06
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Abstract
Background: We present a case of a suspected tranexamic acid-related bilateral pulmonary embolism in a healthy and active middle-aged woman who was receiving tranexamic acid for menorrhagia with no other known significant risk factors for thromboembolism.
Case presentation: A 46-year-old Asian woman who was usually fit and well with no remarkable past medical history except for menorrhagia of 1-year duration for which she was receiving tranexamic acid presented to our accident and emergency department with a 2-week history of intermittent pleuritic central chest pain. She was reviewed and discharged to home with a diagnosis of musculoskeletal pain on two hospital visits because she had no significant risk factors for thromboembolism and her workup investigation results for pulmonary embolism and other differential diagnoses were largely unremarkable. On her third visit to the emergency ambulatory clinic with recurring symptoms of pleuritic chest pain, a pulmonary computed tomographic angiogram confirmed bilateral subsegmental pulmonary embolism.
Conclusion: This case report reinforces the possible increased risk of thromboembolism in patients receiving tranexamic acid.
Citation
Ijaopo EO, Ijaopo RO, Adjei S. Bilateral pulmonary embolism while receiving tranexamic acid: a case report. J Med Case Rep. 2020 Nov 6;14(1):212. doi: 10.1186/s13256-020-02545-z.
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Article