Venous Thromboembolism Due to Oral Contraceptive Intake and Spending Nights in a Vehicle -A Case from the 2016 Kumamoto Earthquakes-

Daisuke Sueta; Rika Akahoshi; Yoshinori Okamura; Sunao Kojima; Tomokazu Ikemoto; Eiichiro Yamamoto; Yasuhiro Izumiya; Kenichi Tsujita; Koichi Kaikita; Hidetaka Katabuchi; Seiji Hokimoto

doi:10.2169/internalmedicine.56.7785

CASE REPORTS

Venous Thromboembolism Due to Oral Contraceptive Intake and Spending Nights in a Vehicle -A Case from the 2016 Kumamoto Earthquakes-

Daisuke Sueta, Rika Akahoshi, Yoshinori Okamura, Sunao Kojima, Tomokazu Ikemoto, Eiichiro Yamamoto, Yasuhiro Izumiya, Kenichi Tsujita, Koichi Kaikita, Hidetaka Katabuchi, Seiji Hokimoto

Author information

Daisuke Sueta
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Rika Akahoshi
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Yoshinori Okamura
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kumamoto University, Japan
Sunao Kojima
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Tomokazu Ikemoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Eiichiro Yamamoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Yasuhiro Izumiya
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Kenichi Tsujita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Koichi Kaikita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Hidetaka Katabuchi
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kumamoto University, Japan
Seiji Hokimoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan

Keywords: thromboembolism, combined oral contraceptives, sleeping overnight in a vehicle

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 4 Pages 409-412

DOI https://doi.org/10.2169/internalmedicine.56.7785

Details

Abstract

A 40-year-old woman experiencing sudden dyspnea went to her personal doctor for advice. She was previously diagnosed with endometriosis and prescribed oral contraceptives for treatment. During earthquakes, she spent 7 nights sleeping in a vehicle. The patient had swelling and pain in her left leg and high D-dimer concentration levels. A contrast-enhanced computed tomography scan revealed a contrast deficit in the bilateral pulmonary artery and in the left lower extremity. She was diagnosed with pulmonary thromboembolism (PTE), and anticoagulation therapy was initiated. This present case is the first report of PTE attributed to the use of oral contraceptives after earthquakes.

Corresponding author

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