Keywords
Lymphadenopathy
Pseudocyst
Pulmonary embolism
Categories
How to Cite
Abstract
Pulmonary embolism (PE) is a rare complication of acute pancreatitis (AP). We report a 40-year-old male who presented with a left breast lump and was found to have mild hyperprolactinemia and elevated pancreatic enzymes. Initial workup with abdominopelvic CT scan revealed incidental lung-base emboli, deemed at low risk given no right ventricular (RV) strain and negative biomarkers. Other findings on CT included large abdominal ascites, pancreatic pseudocyst, and diffuse lymphadenopathy. Cytologies from ascites, pancreatic sampling, and lymph node biopsy were negative for malignancy. A pancreatic duct leak was identified and successfully stented, resulting in the resolution of pancreatic pseudocyst and lymphadenopathy. Given the severity of these incidental findings, clinicians should consider PE when unexplained tachycardia or hypoxemia occurs and recognize that incidental PE can be found on cross-sectional imaging.
References
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Copyright (c) 2026 Ghadi Moubarak, Yasamin Yazdani , Umair Rehman , Robert Anderson , Catherine Davis , Yixiao Chen, Camli Al-Sadek, Hema Atluri