Spontaneously Developed Pulmonary Arterial Intramural Hematoma That Mimicked Thromboembolism

• Published in: Korean journal of radiology Vol. 13; no. 4; pp. 496 - 499
• Main Authors: Kang, Eun-Ju, Lee, Ki-Nam, Kim, In, Chae, Jong-Min, Kim, Gun-Jik, Yang, Dong Heon, Lee, Jongmin
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01.07.2012; 대한영상의학회
• Subjects: Aged; Aneurysms; Antigens; Aortic dissection; Case Report; Case reports; Contrast Media; Coronary vessels; Diagnosis, Differential; Dyspnea; Echocardiography; Electrocardiography; Female; Hematoma; Hematoma - diagnosis; Hematoma - surgery; Hospitals; Humans; Magnetic Resonance Imaging; Pulmonary arteries; Pulmonary Artery; Pulmonary hypertension; Radiology; Smooth muscle; Thoracic surgery; Thromboembolism; Thromboembolism - diagnosis; Tomography, X-Ray Computed; Tuberculosis; Veins & arteries; 방사선과학; CT; Intramural hematoma; Ultrasound; Pulmonary artery
• ISSN: 1229-6929; 2005-8330; 2005-8330
• DOI: 10.3348/kjr.2012.13.4.496

A 65-year-old woman visited our hospital with a complaint of acute onset dyspnea and radiological manifestations of pulmonary thromboembolism. The patient underwent an exploratory surgery to find a whitish-blue colored mass occupying almost the whole lumen of the main pulmonary arteries. Based on the pathological and radiological findings, the patient was diagnosed to have a pulmonary arterial intramural hematoma. Intramural hematomas are usually observed in the walls of the aorta, and we believe that an isolated intramural hematoma in the pulmonary artery has not been described previously.