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An Unexpected Cause of Syncope

Syncope is a common chief complaint among patients presenting to the emergency department, the etiology of which can often be discerned with a thorough history and physical examination. Inversely, liposarcomas are rare tumors that frequently pose a diagnostic challenge as the clinical presentation i...

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Detalles Bibliográficos
Autores principales: Esposito, Melisa, Das, Sulagna, Roca Alvarez, Yulith, Schwartz, Lyndi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225154/
https://www.ncbi.nlm.nih.gov/pubmed/37252541
http://dx.doi.org/10.7759/cureus.38253
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author Esposito, Melisa
Das, Sulagna
Roca Alvarez, Yulith
Schwartz, Lyndi
author_facet Esposito, Melisa
Das, Sulagna
Roca Alvarez, Yulith
Schwartz, Lyndi
author_sort Esposito, Melisa
collection PubMed
description Syncope is a common chief complaint among patients presenting to the emergency department, the etiology of which can often be discerned with a thorough history and physical examination. Inversely, liposarcomas are rare tumors that frequently pose a diagnostic challenge as the clinical presentation is highly nonspecific and varies greatly depending on the anatomic location and size of the tumor. Here we present a case of retroperitoneal liposarcomas (RLS) presenting to the emergency department (ED) with a sole complaint of syncope, resulting in a diagnostic dilemma. This clinical scenario highlights the significance of thorough physical examination regardless of the presenting chief complaint, as unexpected physical examination findings prompted an extended work-up and thus facilitated the diagnosis, providing the opportunity for early intervention and resection of the tumor.
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spelling pubmed-102251542023-05-29 An Unexpected Cause of Syncope Esposito, Melisa Das, Sulagna Roca Alvarez, Yulith Schwartz, Lyndi Cureus Internal Medicine Syncope is a common chief complaint among patients presenting to the emergency department, the etiology of which can often be discerned with a thorough history and physical examination. Inversely, liposarcomas are rare tumors that frequently pose a diagnostic challenge as the clinical presentation is highly nonspecific and varies greatly depending on the anatomic location and size of the tumor. Here we present a case of retroperitoneal liposarcomas (RLS) presenting to the emergency department (ED) with a sole complaint of syncope, resulting in a diagnostic dilemma. This clinical scenario highlights the significance of thorough physical examination regardless of the presenting chief complaint, as unexpected physical examination findings prompted an extended work-up and thus facilitated the diagnosis, providing the opportunity for early intervention and resection of the tumor. Cureus 2023-04-28 /pmc/articles/PMC10225154/ /pubmed/37252541 http://dx.doi.org/10.7759/cureus.38253 Text en Copyright © 2023, Esposito et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Esposito, Melisa
Das, Sulagna
Roca Alvarez, Yulith
Schwartz, Lyndi
An Unexpected Cause of Syncope
title An Unexpected Cause of Syncope
title_full An Unexpected Cause of Syncope
title_fullStr An Unexpected Cause of Syncope
title_full_unstemmed An Unexpected Cause of Syncope
title_short An Unexpected Cause of Syncope
title_sort unexpected cause of syncope
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225154/
https://www.ncbi.nlm.nih.gov/pubmed/37252541
http://dx.doi.org/10.7759/cureus.38253
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