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Syncope as the initial presentation of pulmonary embolism in a young adult with testicular tumor: A case report and literature review

RATIONALE: Venous thrombus embolism (VTE) includes deep-vein thrombosis (DVT) and pulmonary embolism (PE) which may be an initial symptom for patients with cancer. PE has diverse clinical manifestations and is a rare complication of testicular tumor (TT). PATIENT CONCERNS: Here, we report a 21-year-...

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Detalles Bibliográficos
Autores principales: Song, Zikai, Lv, Shijie, Qin, Ling, Cao, Hongyan, Wu, Haidi, Deng, Dayong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314732/
https://www.ncbi.nlm.nih.gov/pubmed/30593166
http://dx.doi.org/10.1097/MD.0000000000013798
Descripción
Sumario:RATIONALE: Venous thrombus embolism (VTE) includes deep-vein thrombosis (DVT) and pulmonary embolism (PE) which may be an initial symptom for patients with cancer. PE has diverse clinical manifestations and is a rare complication of testicular tumor (TT). PATIENT CONCERNS: Here, we report a 21-year-old man admitted to our hospital due to syncope. DIAGNOSES: Clinical examinations upon admission demonstrated PE resulting in syncope. Further, a malignant TT, liver metastasis, and inferior vena cava (IVC) thrombosis were diagnosed. INTERVENTIONS: Low molecular heparin was administered immediately after PE was diagnosed. OUTCOMES: The patient suffered from cardiac arrest on hospitalization. LESSONS: Physicians should consider the possibility of TT when a young male patient presents with syncope and is diagnosed with PE that cannot be explained by a common cause. Treatment for TT and PE should be performed as early as possible to improve the prognosis of patients combine with TT and PE.