Article Text

Download PDFPDF
A rare case of dual diagnosis in a 16-year-old girl with shortness of breath
  1. Felicity de Vere,
  2. Robyn House,
  3. Yunus Gokdogan
  1. Emergency Department, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Felicity de Vere, felicitydevere{at}


Pneumothorax and pulmonary embolism (PE) are two life-threatening causes of shortness of breath in patients presenting to the emergency department. A rare but more serious presentation is that of simultaneous PE and pneumothorax. We present the case of a young patient, with no known comorbidities, who presented with simultaneous submassive PE and pneumothorax. We will review how these two diagnoses may be related, consider the implications of having this dual diagnosis on the patient’s management and review the current evidence surrounding thrombolysis in submassive PE.

  • venous thromboembolism
  • haematology (drugs and medicines)
  • respiratory system
  • emergency medicine
  • pulmonary embolism

Statistics from


  • Contributors They designed the report, acquired information and analysed related articles (as seen in the Discussion section). They agree to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. YG is the second author, who helped edit the manuscript and provided advice on all other aspects of the project.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles