PT  - JOURNAL ARTICLE
AU  - Danny Chin Guan Lim
AU  - Hari Kishan Jayanthi
AU  - Andrew Money-Kyrle
AU  - Punit Ramrakha
TI  - Massaging the outcome: an unusual presentation of pulmonary embolism
AID  - 10.1136/bcr.01.2009.1505
DP  - 2009 Jan 01
TA  - BMJ Case Reports
PG  - bcr0120091505
VI  - 2009
4099  - http://casereports.bmj.com/content/2009/bcr.01.2009.1505.short
4100  - http://casereports.bmj.com/content/2009/bcr.01.2009.1505.full
AB  - 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.