ROENTGENOGRAM OF THE MONTH
Section snippets
Diagnosis: DIFFUSE INTRAPULMONARY HEMORRHAGE CAUSED BY COUMADIN INTOXICATION
The admission chest roentgenogram reveals widespread bilateral alveolar pulmonary infiltrate with “butterfly” distribution. There is little or no cardiac enlargement.
After intravenous and oral administration of vitamin K, the prothrombin activity showed rapid return to normal levels, and the hematuria and hemoptysis ceased. The chest roentgen findings cleared in four days.
Pulmonary edema and bronchopneumonia were considered in the differential diagnosis. He did not exhibit such signs of heart
REFERENCES (4)
Anticoagulant Therapy
(1962)“Spontaneous Hemorrhage with Anticoagulants,”
Circulation
(1962)
There are more references available in the full text version of this article.
Cited by (7)
Radiographic aspects of occult pulmonary haemorrhage
1978, Clinical RadiologyA review of clinical and imaging features of diffuse pulmonary hemorrhage
2021, American Journal of RoentgenologySuccessful management of warfarin-exacerbated diffuse alveolar hemorrhage using an extracorporeal membrane oxygenation
2013, Multidisciplinary Respiratory Medicine
Readers are invited to submit articles for the Roentgenogram of the Month. Please submit a brief abstract of your case to Benjamin Felson, M.D., Department of Radiology, Cincinnati General Hospital, Cincinnati, Ohio.
Copyright © 1965 The American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.