Pulmonary Embolism Associated with Gluteal Vein Thrombosis

Abstract

Deep vein thrombosis is commonly associated with pulmonary embolism (PE). However, gluteal vein thrombosis associated with PE is not widely reported. A 39-year-old female complaining of shortness of breath and menorrhagia was evaluated by the gynecologist. Magnetic resonance imaging evaluation of her abdomen and pelvis revealed a left superior gluteal vein thrombus. In view of the patient’s dyspnea and elevated D-dimer, the patient underwent computed tomography pulmonary angiogram, which showed the presence of bilateral PE. The patient’s symptoms improved after anticoagulation with rivaroxaban. This case report highlights the association of gluteal vein thrombosis with PE.