Young woman after pulmonary embolism. Clinician wants to ex | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

You can view up to 4 cases without signing up

Young woman after pulmonary embolism.

Clinician wants to exclude ovarian malignancy as a cause of embolism. There' s a simple cyst in the right ovary. But what do you think of the small cystoid structure behind it?

Why you should join Figure 1

• Share your knowledge with our global community of healthcare professionals
• Get help from experts in your field
• Learn from our library of real-world cases and quizzes

Genetic predisposition, oral contraceptive (OCP) use, tobacco smoking, cancers, and trauma are well-known triggers for hypercoagulability and thromboembolism. Multiple reports have been published on the health risk of combining OCP and traditional cigarettes smoking in the context of thromboembolism. However, limited information is available on the health consequences of combining OCP use with electronic cigarettes. Here, we report a case of a young female patient with a past medical history of ovarian cysts and electronic cigarettes use who came into the hospital with a complaint of “recurrent seizures” and tachycardia. This patient was subsequently diagnosed with bilateral pulmonary emboli, subacute cerebrovascular accident (CVA), and possible patent foramen ovale. Therapeutic Lovenox was initiated. Reasons to educate young females on the risks of combining OCP and electronic cigarettes use were explained.

\
Right atrial thrombus seen on Chest CT, not seen on #Transthoracic-echocardiography, but confirmed in #Transesophageal-echocardiography; in a 58yo patient diagnosed on ovarian #Adenocarcinoma and complaining of #Dyspnea. No #Pulmonary-embolism seen on CT.](https://app.figure1.com/case-detail/0a08ebd6-5621-4410-826f-0db89ffb3f50)

\
Ovarian vein reflux and varices embolized.](https://app.figure1.com/case-detail/1a099450-7a14-4aba-9874-7ba0485e88f2)

\
Bilateral pulmonary embolism](https://app.figure1.com/case-detail/1abd8c49-d03d-44b5-8949-35588aeab16a)