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Defecation Syncope Caused by Pulmonary Embolism

1990; American College of Physicians; Volume: 113; Issue: 1 Linguagem: Inglês

10.7326/0003-4819-113-1-86_2

1539-3704

Marin H. Kollef, David T. Schachter,

Blood Pressure and Hypertension Studies

Letters and Corrections1 July 1990Defecation Syncope Caused by Pulmonary EmbolismMarin H. Kollef, MD, David T. Schachter, MDMarin H. Kollef, MDSearch for more papers by this author, David T. Schachter, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-1-86_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Defecation syncope accounts for approximately 5% of all patients who present with syncope (1-4). Pulmonary embolism presenting with syncope is reported in 17% of patients (5). Pulmonary embolism as a cause of defecation syncope has not been well described in the medical literature. We report the cases of four patients with this entity who presented to us over a 12-month period.A 60-year-old man had a brain tumor surgically removed. On the sixteenth postoperative day after the completion of defecation, he lost consciousness, fell from the commode, and died. Autopsy showed a saddle embolus to be the...References1. Wayne H. Syncope: physiological considerations and an analysis of clinical characteristics in 510 patients. Am J Med. 1961;30:418-38. CrossrefMedlineGoogle Scholar2. KapoorKarpfWieandPetersonLevey WMSJG. A prospective evaluation and follow-up of patients with syncope. N Engl J Med. 1983;309:197-204. CrossrefMedlineGoogle Scholar3. Pathy M. Defecation syncope. Age Ageing. 1978;7:233-6. CrossrefMedlineGoogle Scholar4. KapoorPetersonKarpf WJM. Defecation syncope: a symptom with multiple etiologies. Arch Intern Med. 1986;146:2377-9. CrossrefMedlineGoogle Scholar5. ThamesAlpertDalen MJJ. Syncope in patients with pulmonary embolism. JAMA. 1977;238:2509-11. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Marin H. Kollef, MD; David T. Schachter, MDAffiliations: Fitzsimons Army Medical Center Aurora, CO 80045-5001 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byDefecation and Micturition may Cause Syncope in COVID-19 Patients on High Oxygen RequirementDefaecation syncope and pulmonary thromboembolism in a catPulmonary embolism presenting as syncope: Case report and review of the literatureInvoluntary defaecation in acutely injured patients: a useful clinical signSyncope in Older PersonsPulmonary Embolism Associated with Postoperative Deep BreathingAcute Pulmonary Embolism Triggered by the Act of Defecation 1 July 1990Volume 113, Issue 1Page: 86-86KeywordsAutopsyBrainConsciousnessDefecationPulmonary embolismSyncope ePublished: 1 December 2008 Issue Published: 1 July 1990 PDF downloadLoading ...