{"pk":868,"title":"A Case Report of a Migrated Pelvic Coil Causing Pulmonary Infarct in an Adult Female","subtitle":null,"abstract":"Introduction:\n It is possible but rare for a pelvic coil to migrate to the pulmonary vasculature, which can cause cardiac damage, arrhythmias, pulmonary infarct, and thrombophlebitis. The few cases reported typically do not describe removal of the coils, as patients were asymptomatic.\nCase report:\n A 39-year-old female with recent coil embolization of her left internal iliac and ovarian veins for pelvic congestion syndrome presented with one month of right-sided chest pain and dyspnea. Imaging revealed a migrated pelvic coil in the patient’s right main pulmonary artery with pulmonary infarcts and a pleural effusion.\nConclusion:\n Interventional radiology successfully removed the coil endovascularly, with significant symptom improvement. This prevented a more-invasive open surgical procedure and resolved symptoms without requiring long-term anticoagulation or monitoring.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Migrated coil"},{"word":"pelvic congestion syndrome"},{"word":"pulmonary infarct"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2rr850qs","frozenauthors":[{"first_name":"Angel","middle_name":"","last_name":"Guerrero","name_suffix":"","institution":"Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina","department":"None"},{"first_name":"Rebecca","middle_name":"G.","last_name":"Theophanous","name_suffix":"","institution":"Duke University Medical Center, Department of Surgery, Division of Emergency Medicine, Durham, North Carolina","department":"None"}],"date_submitted":"2020-07-10T08:02:59+02:00","date_accepted":"2020-07-10T08:02:59+02:00","date_published":"2020-07-10T08:04:21+02:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/868/galley/617/download/"}]}