2019 年 35 巻 2 号 p. 318-322
Objective: Several studies have reported an association between malignant tumors and thrombosis. We report a case of fallopian tube carcinoma diagnosed laparoscopically in a patient with pulmonary embolism.
Case presentation: A 71-year-old woman was diagnosed with pulmonary embolism on chest computed tomography (CT) that was performed for evaluation of inconclusive chest radiography findings. Although a small amount of ascitic fluid observed on CT was suspicious for malignancy, we could not conclusively diagnose this condition using several modalities such as CT, magnetic resonance imaging, and positron-emission tomography-CT of the upper and lower gastrointestinal tract. Therefore, we performed laparoscopy, and she was diagnosed with tubal cancer with peritoneal dissemination.
Conclusion: Laparoscopy is useful to diagnose the origin of malignant tumors.