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Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism
Pulmonary embolism (PE) is defined as the obstruction of the pulmonary artery or one of its branches by a blood clot, tumor, air, or fat emboli originating elsewhere in the body. A saddle PE occurs when the obstruction affects the bifurcation of the main pulmonary artery trunk. We present a case of...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778154/ https://www.ncbi.nlm.nih.gov/pubmed/36547205 http://dx.doi.org/10.3390/diseases10040119 |
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author | Elajami, Mohamad K. Mansour, Ephraim Bahmad, Hisham F. Chaaya, Gerard DeBeer, Steven Poppiti, Robert Omarzai, Yumna |
author_facet | Elajami, Mohamad K. Mansour, Ephraim Bahmad, Hisham F. Chaaya, Gerard DeBeer, Steven Poppiti, Robert Omarzai, Yumna |
author_sort | Elajami, Mohamad K. |
collection | PubMed |
description | Pulmonary embolism (PE) is defined as the obstruction of the pulmonary artery or one of its branches by a blood clot, tumor, air, or fat emboli originating elsewhere in the body. A saddle PE occurs when the obstruction affects the bifurcation of the main pulmonary artery trunk. We present a case of a 46-year-old man who presented to our hospital due to an episode of syncope. Computed tomography angiography (CTA) of the chest showed extensive PE and abdominal CT scan showed a large 8 cm left renal mass with inferior vena cava (IVC) thrombus. Emergent embolectomy, left total nephrectomy, and IVC tumor removal were performed yielding the diagnosis of clear cell renal cell carcinoma (RCC). Interestingly, our patient did not experience any symptoms related to his RCC until the diagnosis of PE due to syncope, and the asymptomatic tumor was found out to be the possible cause of this PE due to the presence of tumor cells constituting the tumor embolus. It is thus recommended to improve the early screening process for RCC. Besides, clinicians should pay attention to patients presenting with uncharacteristic symptoms of RCC who might present with symptoms of saddle PE. |
format | Online Article Text |
id | pubmed-9778154 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97781542022-12-23 Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism Elajami, Mohamad K. Mansour, Ephraim Bahmad, Hisham F. Chaaya, Gerard DeBeer, Steven Poppiti, Robert Omarzai, Yumna Diseases Case Report Pulmonary embolism (PE) is defined as the obstruction of the pulmonary artery or one of its branches by a blood clot, tumor, air, or fat emboli originating elsewhere in the body. A saddle PE occurs when the obstruction affects the bifurcation of the main pulmonary artery trunk. We present a case of a 46-year-old man who presented to our hospital due to an episode of syncope. Computed tomography angiography (CTA) of the chest showed extensive PE and abdominal CT scan showed a large 8 cm left renal mass with inferior vena cava (IVC) thrombus. Emergent embolectomy, left total nephrectomy, and IVC tumor removal were performed yielding the diagnosis of clear cell renal cell carcinoma (RCC). Interestingly, our patient did not experience any symptoms related to his RCC until the diagnosis of PE due to syncope, and the asymptomatic tumor was found out to be the possible cause of this PE due to the presence of tumor cells constituting the tumor embolus. It is thus recommended to improve the early screening process for RCC. Besides, clinicians should pay attention to patients presenting with uncharacteristic symptoms of RCC who might present with symptoms of saddle PE. MDPI 2022-12-02 /pmc/articles/PMC9778154/ /pubmed/36547205 http://dx.doi.org/10.3390/diseases10040119 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Elajami, Mohamad K. Mansour, Ephraim Bahmad, Hisham F. Chaaya, Gerard DeBeer, Steven Poppiti, Robert Omarzai, Yumna Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title | Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title_full | Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title_fullStr | Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title_full_unstemmed | Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title_short | Renal Cell Carcinoma Presenting as Syncope due to Saddle Pulmonary Tumor Embolism |
title_sort | renal cell carcinoma presenting as syncope due to saddle pulmonary tumor embolism |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778154/ https://www.ncbi.nlm.nih.gov/pubmed/36547205 http://dx.doi.org/10.3390/diseases10040119 |
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