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: Case report  USA

[In Press] Estrogen-Eluting Ring for Contraception and Possible Issues of Severe Pulmonary Emboli

Challenging differential diagnosis, Unusual setting of medical care, Adverse events of drug therapy , Rare coexistence of disease or pathology

Alexander Santos1ABCDEFG, Christopher R. Chew ORCID logo1ABCDE, Anthony Hatoum1ABCD

Am J Case Rep In Press; DOI:   :: ID: 936256

Available online: , In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule

Abstract

BACKGROUND
This case report demonstrates the relationship of an estrogen-eluting vaginal ring and thrombosis. There have been multiple reports in the literature demonstrating this scenario, but it is normally found that the patient is taking the medication orally. In this unique report we present the case of a patient with an acute severe pulmonary embolus while using an estrogen-eluting vaginal ring, with no other significant risk factors.
CASE REPORT
A 27-year-old African American woman who came to the Emergency Department due to new shortness of breath and tachycardia. She was discovered to have a pulmonary embolus found on CTA pulmonary. On further questioning, the patient noted using an estrogen-eluting ring for contraception.
CONCLUSIONS
We postulate that her use of this estrogen-eluting ring likely played a large part in her developing a pulmonary embolus, as this patient had little to no risk of developing a pulmonary embolism.

Keywords: Estrogens; Pulmonary Embolism

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923