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[Asymptomatic pulmonary embolism and venous thrombosis of the lower limbs. Study with spiral x-ray computed
P Gouzien1, M Chabierski, J Baccialone
1Hôpital d'Instruction des Armées de Versailles, Paris.
Aim:
Spiral Computed Tomography (CT) allows diagnosis and follow-up in pulmonary embolism (PE).
Material And Method:
We studied prospectively with spiral CT 21 patients to evaluate the frequency and the extent of asymptomatic PE in the patients with lower limbs venous thrombosis and no pulmonary symptomatology.
Results:
We observed a asymptomatic PE in 8/21 cases (34%). Extensive pulmonary thrombosis could be observed despite normal presentation. There was no association between the localization of PE topography and, the extent of the lower limb venous thrombosis extent.
Conclusion:
This study shows about the capability for CT to evaluate PE severity and clinical underestimation PE occurrence.