Patients of hyperthyroidism widely reported to have several coagulation and fibrinolytic disorders. Hyperthyroidism and Pulmonary embolism (PE) are one of the rare associations. We have reported a case of Thyroiditis with Multinodular Goitre (known case of Hyperthyroidism) complicated by pulmonary embolism. In this patient, PE was suspected on basis of clinical presentation with 2D Echo suggestive of severe pulmonary hypertension (PAH), with ECG suggestive of S1Q3T3 pattern.PE was confirmed on CT pulmonary angiography. This patient treated with heparin followed by oral anticoagulants. In conclusion, hyperthyroidism is associated with increased risk venous thromboembolism including PE and necessitates the need of Thyroid evaluation if other conventional factors causing PE are not present.
Hyperthyroidism, Pulmonary embolism, CT pulmonary angiography.