A Possible Association of Diindolylmethane with Pulmonary Embolism and Deep Venous Thrombosis
Table 1
Timeline of events.
Time
Event
10 years ago
The patient had a possible pulmonary embolism.
6 years ago
The patient ceased smoking tobacco.
1 year ago
The patient resumed smoking tobacco. PSA was less than 3 ng/mL.
13 to 19 months ago
The patient used over-the-counter testosterone supplements.
4 months ago
Colonoscopy found a benign polyp.
3 to 4 months ago
The patient started using over-the-counter diindolylmethane.
5 weeks ago
The patient presented to the Emergency Department and was thought to have right sciatica.
3 weeks ago
The patient presented to the Emergency Department and was thought to have costochondritis.
Day 0
A lower extremity venous Doppler study found deep venous thromboembolism in his right lower extremity. Computed tomography of the chest found bilateral pulmonary embolism with probable right middle lobe infarction. The patient was hospitalized and started on anticoagulation.
5 months later
A lower extremity venous Doppler study found chronic deep venous thromboembolism in his right lower extremity.