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UROLOGICAL IMAGES
Year : 2017  |  Volume : 33  |  Issue : 4  |  Page : 331-332

Embolized prostatic brachytherapy seeds mimicking acute chest pain syndromes


1 Department of Internal Medicine, Trinitas Regional Medical Center, Elizabeth, New Jersey, USA
2 Department of Cardiology, St Joseph Regional Medical Center, Paterson, New Jersey, USA

Correspondence Address:
Nirmal Guragai
Department of Internal Medicine, Trinitas Regional Medical Center, Elizabeth, New Jersey
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_179_17

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A 59-year-old male with a history of nonobstructive coronary artery disease, diabetes mellitus, hypertension, and prostate cancer presented to the hospital with 1-day history of pleuritic chest pain. Initial workup for acute coronary event was unremarkable. Chest X-ray revealed multiple small radial densities which were linear and hyperdense, consistent with embolization of metallic seeds to the pulmonary circulation. The patient was noted to have had radioactive metallic seeds implanted for prostate cancer 6 months ago. Diagnosis of pulmonary embolization of prostatic seeds is challenging as they frequently present with chest pain mimicking acute coronary syndromes.


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