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Órgano oficial de la Universidad Autónoma de Sinaloa

2026, Number 1

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Rev Med UAS 2026; 16 (1)

Giant abdominal neoplasm as a finding in a patient with Pulmonary Thromboembolism

Rodríguez-Sánchez MA, Olguín-Guizado CA, López-Mercado AA, Aguilar-Rubio JM, Beltrán-Ontiveros LD, Kawano-Soto CA

Language: Spanish
References: 9
Page: 52-57
PDF size: 188.49 Kb.


ABSTRACT

Introduction: Ovarian cystadenomas are common benign epithelial neoplasms with an excellent prognosis. Although often discovered incidentally, some may reach considerable size and cause compressive complications. The association between giant ovarian tumors and pulmonary embolism (PE) is clinically relevant due to the prothrombotic risk resulting from venous stasis and paraneoplastic hypercoagulability. Case Summary: A 61-year-old female with morbid obesity and hypertension presented with abdominal pain and dyspnea. Computed tomography revealed a large adnexal mass compressing intestinal loops and an occlusion of the left main pulmonary artery. Surgical treatment was performed, and histopathological analysis confirmed a benign serous cystadenoma. Conclusions: This case illustrates the relationship between large ovarian neoplasms and thromboembolic events. It highlights the importance of considering underlying neoplastic causes in patients with PE of unclear origin, as early recognition of an associated tumor can guide diagnosis, therapeutic decisions, and improve clinical outcomes.


REFERENCES

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