Citation

Çelik C, Carus M, Büyükcam F. Am. J. Emerg. Med. 2017; 35(12): 1984.e1-1984.e2.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.ajem.2017.07.084

PMID

29037581

Abstract

OBJECTIVE: Pulmonary embolism is a relatively common clinical presentation of venous thromboembolism, which develops in relation to acute pulmonary arterial occlusion mostly caused by thrombi of the lower limbs.
CASE REPORT: 29year old female admitted to emergency department with pulmonary thromboembolism due to an ingestion of 17 Diana 35 pills (2 mg cyproterone acetate and 0.035mg ethinyl estradiol) in a suicide attempt without any previously known predisposing factors. After thrombolytic therapy, the patient was discharged with oral warfarin treatment.
DISCUSSION: We know that exogenous estrogen increase the risk of venous thromboembolism in therapeutic use. It should be kept in mind that even single ingestion of a single high-dose exogenous estrogen intake may induce pulmonary thromboembolism.

Language: en

Keywords

Humans; Adult; Female; Drug Overdose; Pulmonary Embolism; Treatment Outcome; Suicide, Attempted; Drug overdose; Pulmonary embolism; Anticoagulants; Warfarin; Ethinyl estradiol; Contraceptives, Oral, Hormonal; Oral contraceptives; Thrombolytic Therapy; Venous thromboembolism