Author(s)

Liliane Mfeukeu-Kuate^1,2, Nadège Nganou-Gnindjio^1,2, Andy Tchouanlong Tabuguia¹, Honoré Kemnang Yemele¹, Boris Kom Wandji¹, Ahmadou Musa Jingi^3*, Oummoul Koulsoumi¹, Claude Ewane Essoh¹, Johane Bekoe¹, Dieudonné Danwe¹, Alain Menanga⁴

¹Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
²Central Hospital of Yaoundé, Yaoundé, Cameroon.
³Faculty of Health Sciences, University of Bamenda, Bamenda, Cameroon.
⁴General Hospital of Yaoundé, Yaoundé, Cameroon.

Management of thromboembolic disease in an acute bleeding circumstance like haemorrhagic stroke is a real challenge in low-income settings. We report a case of a 37-year-old woman who was treated in the neurologic service for a haemorrhagic stroke that occurred one week after a caesarean section. Six weeks after her discharge, she presented signs of bilateral deep vein thrombosis and pulmonary embolism confirmed by venous Doppler ultrasound and a thoracic angiography respectively. Transthoracic cardiac ultrasound showed right ventricular dysfunction with a clot in the right atrium. Considering the high risk of complications due to anticoagulant treatment, surgical treatment and a vena cava filter were proposed. But it could not be performed because it was not accessible. After a multidisciplinary consultation meeting and informed consent of the patient, anticoagulant treatment was the preferred expectation. Three weeks after the beginning of the anticoagulant therapy, the evolution was favourable, and the patient was discharged.

Dilemma, Pulmonary Embolism, Haemorrhagic Stroke, Cameroon

Mfeukeu-Kuate, L. , Nganou-Gnindjio, N. , Tabuguia, A. , Yemele, H. , Wandji, B. , Jingi, A. , Koulsoumi, O. , Essoh, C. , Bekoe, J. , Danwe, D. and Menanga, A. (2022) Management Dilemma of Pulmonary Embolism Associated with Haemorrhagic Stroke in Low-Income Settings: A Case Report. Case Reports in Clinical Medicine, 11, 160-166. doi: 10.4236/crcm.2022.115024.