An Unusual Cause of Pulmonary Nodules in the Emergency Department

An Unusual Cause of Pulmonary Nodules in the Emergency Department

We report a 51-year-old woman who presented to the emergency department with left-sided pleuritic chest pain 2 weeks after subtotal hysterectomy and bilateral salpingo-oophorectomy for a leiomyomatous uterus. Computed tomography scan of the chest revealed bilateral pulmonary nodules. Biopsy showed c...

Full description

Bibliographic Details
Main Authors: Ryan Yu, Melanie Ferri
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Emergency Medicine
Online Access:http://dx.doi.org/10.1155/2015/278020
id doaj-adcd6af8f3d8414a8ea4230faaed6b12
record_format Article
spelling doaj-adcd6af8f3d8414a8ea4230faaed6b122020-11-24T22:25:27ZengHindawi LimitedCase Reports in Emergency Medicine2090-648X2090-64982015-01-01201510.1155/2015/278020278020An Unusual Cause of Pulmonary Nodules in the Emergency DepartmentRyan Yu0Melanie Ferri1Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, L8S 4L8, CanadaDepartment of Diagnostic Imaging, Juravinski Hospital and Cancer Centre and McMaster University, Hamilton, ON, L8V 5C2, CanadaWe report a 51-year-old woman who presented to the emergency department with left-sided pleuritic chest pain 2 weeks after subtotal hysterectomy and bilateral salpingo-oophorectomy for a leiomyomatous uterus. Computed tomography scan of the chest revealed bilateral pulmonary nodules. Biopsy showed cytologically bland spindle cells without overt malignant features. Immunohistochemistry confirmed smooth muscle phenotype, in keeping with a clinicopathologic diagnosis of benign metastasizing leiomyoma (BML). BML does not frequently come to the attention of the emergency physician because it is rare and usually asymptomatic. When symptomatic, its clinical presentation depends on the site(s) of metastasis, number, and size of the smooth muscle tumors. Emergent presentations of BML are reviewed.http://dx.doi.org/10.1155/2015/278020
collection DOAJ
language English
format Article
sources DOAJ
author Ryan Yu
Melanie Ferri
spellingShingle Ryan Yu
Melanie Ferri
An Unusual Cause of Pulmonary Nodules in the Emergency Department
Case Reports in Emergency Medicine
author_facet Ryan Yu
Melanie Ferri
author_sort Ryan Yu
title An Unusual Cause of Pulmonary Nodules in the Emergency Department
title_short An Unusual Cause of Pulmonary Nodules in the Emergency Department
title_full An Unusual Cause of Pulmonary Nodules in the Emergency Department
title_fullStr An Unusual Cause of Pulmonary Nodules in the Emergency Department
title_full_unstemmed An Unusual Cause of Pulmonary Nodules in the Emergency Department
title_sort unusual cause of pulmonary nodules in the emergency department
publisher Hindawi Limited
series Case Reports in Emergency Medicine
issn 2090-648X
2090-6498
publishDate 2015-01-01
description We report a 51-year-old woman who presented to the emergency department with left-sided pleuritic chest pain 2 weeks after subtotal hysterectomy and bilateral salpingo-oophorectomy for a leiomyomatous uterus. Computed tomography scan of the chest revealed bilateral pulmonary nodules. Biopsy showed cytologically bland spindle cells without overt malignant features. Immunohistochemistry confirmed smooth muscle phenotype, in keeping with a clinicopathologic diagnosis of benign metastasizing leiomyoma (BML). BML does not frequently come to the attention of the emergency physician because it is rare and usually asymptomatic. When symptomatic, its clinical presentation depends on the site(s) of metastasis, number, and size of the smooth muscle tumors. Emergent presentations of BML are reviewed.
url http://dx.doi.org/10.1155/2015/278020
work_keys_str_mv AT ryanyu anunusualcauseofpulmonarynodulesintheemergencydepartment
AT melanieferri anunusualcauseofpulmonarynodulesintheemergencydepartment
AT ryanyu unusualcauseofpulmonarynodulesintheemergencydepartment
AT melanieferri unusualcauseofpulmonarynodulesintheemergencydepartment
_version_ 1725757550998061056

Similar Items