Managing a Patient with Pulmonary Thromboembolic Disease Presenting with Active Hemoptysis: A Case Report

Abstract

Pulmonary thromboembolism and active hemoptysis represent distinct yet critical emergencies necessitating immediate intervention. However, the treatment protocols for these conditions—anticoagulation therapy and hemostatic therapy—often pose a dilemma. We present the case of a 25-year-old female who presented to our emergency room with hemoptysis and a concurrent diagnosis of pulmonary thromboembolism. Due to persistent active hemoptysis, we temporarily paused anticoagulation and opted for surgical pulmonary thrombectomy, enabling the safe resumption of anticoagulation therapy. Hemoptysis occurring in pulmonary thromboembolism is infrequently reported in the literature, and established treatment guidelines for such cases are lacking. This case could provide guidance on how to handle the intricate treatment challenges posed by concurrent hemoptysis and pulmonary thromboembolism.