Journal of Clinical Case Reports

Lung Bullae, Cavitation and Right Ventricular Thrombus Formation with Saprophytic Aspergillus Colonisation: A Rare Presentation of Idiopathic Pulmonary Embolism

Abstract

Soumik Ghosh, Prabhat Kumar, Pushpa Kumari, Varun Rehani, Ratnakar Sahoo and Adesh Kumar Gadpayle

Pulmonary Embolus (PE), in association with Deep Vein Thrombosis (DVT) is one of the three major cardiovascular causes of death. There are several risk factors for PE but still many cases are idiopathic. Cavity, bullae and lung abscess formation are unusual finding in PE. Right Ventricular (RV) thrombus secondary to PE itself is also rare. Here, we present a case of a young male patient with no prior risk factors, who came to us with a large bullae and cavitation in lung which was secondary to PE. Later he developed RV thrombus and saprophytic fungal colonisation of affected lung which was all attributed to PE. Patient was managed conservatively with anticoagulation and his repeat echo after two months showed clearance of RV thrombus.