case_images: PMC11833193_01
case_images: Brain computed tomography image. Computed tomography image without contrast showing multiple low absorption areas (arrowheads). Hypodense areas are observed in (a) the right cerebellar hemisphere, (b) the left fronto-parietal lobe and left occipital lobe, and (c) the left fronto-parietal lobe and right frontal lobe. These indicate areas of infarction.
case_images: cureus-0017-00000077642-i01.jpg
case_images: PMC11833193_01_cureus-0017-00000077642-i01.jpg
case_images: FIG1
case_images: This revealed multiple cerebral infarctions, predominantly affecting the left lobe (Figure 1), which were considered the cause of aphasia and right hemiplegia. 
case_images: Electrocardiogram findings. Electrocardiogram showing normal sinus rhythm, narrow QRS, no axis deviation, and ST-segment elevation in leads II, III, and aVF with reciprocal change in leads I and aVL.
case_images: cureus-0017-00000077642-i02.jpg
case_images: PMC11833193_01_cureus-0017-00000077642-i02.jpg
case_images: FIG2
case_images: Screening electrocardiography on admission revealed normal sinus rhythm and ST-segment elevation in leads II, III, and aVF with reciprocal changes in leads I and aVL (Figure 2).
case_images: Coronary angiography before and after the procedure. (a) Pre-procedural coronary angiogram showing total occlusion of the distal left anterior descending artery (white arrowhead). (b) Post-procedural coronary angiogram showing successful recanalization of the occluded vessel following thrombus aspiration (black arrowhead). The main component of the extracted thrombus was fibrin. (c) Right coronary angiogram demonstrating no stenotic lesions.
case_images: cureus-0017-00000077642-i03.jpg
case_images: PMC11833193_01_cureus-0017-00000077642-i03.jpg
case_images: FIG3
case_images: Emergency coronary angiography revealed a thrombotic occlusion in the distal left anterior descending artery (Figure 3a), leading to the diagnosis of acute apical MI. A primary percutaneous coronary intervention using an aspiration device to eliminate the thrombotic debris was successful in achieving recanalization of the occluded artery (Figure 3b).
case_images: Pelvic computed tomography image. Contrast-enhanced computed tomography images showing a heterogeneously enhanced mass (white arrowhead) within an enlarged uterus. There is also a left ovarian cyst that is not suspicious of malignancy (black arrowhead). (a) Sagittal sectional image; (b) axial sectional image.
case_images: cureus-0017-00000077642-i04.jpg
case_images: PMC11833193_01_cureus-0017-00000077642-i04.jpg
case_images: FIG4
case_images: A whole-body CT scan and magnetic resonance imaging (Figure 4) showed uterine enlargement and a left ovarian cyst with no enlargement of lymph nodes or evidence of distant metastasis.