TY - JOUR T1 - Massaging the outcome: an unusual presentation of pulmonary embolism JF - BMJ Case Reports DO - 10.1136/bcr.01.2009.1505 VL - 2009 SP - bcr0120091505 AU - Danny Chin Guan Lim AU - Hari Kishan Jayanthi AU - Andrew Money-Kyrle AU - Punit Ramrakha Y1 - 2009/01/01 UR - http://casereports.bmj.com/content/2009/bcr.01.2009.1505.abstract N2 - A 56-year-old man with a previous deep venous thrombus presented with dyspnoea after a leg massage. A transthoracic echocardiogram demonstrated a “worm-shaped” right atrial embolus, most probably a femoral cast. A pulmonary artery angiogram confirmed a large wedge-shaped perfusion defect caused by a pulmonary embolus. There are previous case reports about leg massage causing pulmonary emboli but this is the first reported event where the thrombus has been visualised directly. Also, it demonstrates the important role that echocardiography plays in pulmonary embolus. ER -