Primary intimal sarcoma of the pulmonary artery misdiagnosed as pulmonary thromboembolism: A case confirmed at medicolegal autopsy |
| |
Authors: | Reisha Rijal MBBS Asit Ranjan Mridha MD Sudheer Kumar Arava MD Chittaranjan Behera MD |
| |
Affiliation: | 1. Department of Forensic Medicine & Toxicology, All India Institute of Medical sciences, New Delhi, India;2. Department of Pathology, All India Institute of Medical sciences, New Delhi, India;3. Chittaranjan Behera, Department of Forensic Medicine & Toxicology, All India Institute of Medical sciences, New Delhi 110029, India.;4. Email: drchitta75@rediffmail.com |
| |
Abstract: | Misdiagnosed PAS confirmed at medicolegal autopsy Pulmonary artery sarcoma (PAS) is a rare disease and usually indistinguishable from acute or chronic thromboembolic disease of the pulmonary arteries. We present a case of pulmonary artery sarcoma in a 54‐year‐old male, who was clinically misdiagnosed as pulmonary thromboembolism. The patient died of disease; however, the actual diagnosis of PAS was made after a medicolegal autopsy. PAS can be a diagnostic challenge for both clinicians and pathologists. In an autopsy case with a clinical suspicion of pulmonary thromboembolism, if there is an abnormal gross appearance in the pulmonary artery, the forensic pathologist should have a high index of suspicion of PAS, which should be ruled out by a histopathologic examination. |
| |
Keywords: | autopsy computed tomography of pulmonary artery forensic pathology misdiagnosis pulmonary artery sarcoma pulmonary thromboembolism |
|
|