@article{ref1,
title="Pulmonary embolism due to exogenous estrogen intoxication",
journal="American journal of emergency medicine",
year="2017",
author="Çelik, Caner and Carus, Murat and Büyükcam, Fatih",
volume="35",
number="12",
pages="1984.e1-1984.e2",
abstract="OBJECTIVE: Pulmonary embolism is a relatively common clinical presentation of venous thromboembolism, which develops in relation to acute pulmonary arterial occlusion mostly caused by thrombi of the lower limbs. CASE REPORT: 29year old female admitted to emergency department with pulmonary thromboembolism due to an ingestion of 17 Diana 35 pills (2 mg cyproterone acetate and 0.035mg ethinyl estradiol) in a suicide attempt without any previously known predisposing factors. After thrombolytic therapy, the patient was discharged with oral warfarin treatment. DISCUSSION: We know that exogenous estrogen increase the risk of venous thromboembolism in therapeutic use. It should be kept in mind that even single ingestion of a single high-dose exogenous estrogen intake may induce pulmonary thromboembolism.<p /><p>Language: en</p>",
language="en",
issn="0735-6757",
doi="10.1016/j.ajem.2017.07.084",
url="http://dx.doi.org/10.1016/j.ajem.2017.07.084"
}