An Atypical Case of Morbid Obesity, Presenting With Deep Vein Thrombosis and Pulmonary Embolism

Extreme obesity or Class III obesity is defined as a body mass index (BMI) greater than 40 kg/m(2) and is invariably associated with a marked increase in morbidity and mortality. Our patient is a 36-year-old male wrestler, with a BMI of 63.53 kg/m(2), and has been suffering from recurrent deep vein thrombosis (DVT), pulmonary embolism, osteoarthritis of both knees, obstructive sleep apnea, insulin-dependent type ll diabetes mellitus, fungal infections, pulmonary hypertension, neuropathy, and foot ulcers. He has been subjected to multiple surgeries and interventions, primarily because of his profession. He presents to us with pain in his chest and in his left leg for the past two days. Extreme obesity is a global health problem and has acquired the level of a pandemic. This case emphasizes the role of early detection and management of extreme obesity and its complications.