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Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314732PMC
http://dx.doi.org/10.1097/MD.0000000000013798DOI Listing

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