Song Z, Lv S, Qin L, Cao H, Wu H, Deng D. Syncope as the initial presentation of pulmonary embolism in a young adult with testicular tumor: A case report and literature review.
Medicine (Baltimore) 2018;
97:e13798. [PMID:
30593166 PMCID:
PMC6314732 DOI:
10.1097/md.0000000000013798]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
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.
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