title: Paradoxical cerebral embolism originating from thrombus in tumour veins as presenting manifestation of retroperitoneal liposarcoma.
abstract: The coincidence of pulmonary and systemic emboli suggests paradoxical embolism. We present the case of a young man in whom a blood clot travelled from the veins in a retroperitoneal liposarcoma via a patent foramen ovalis to the systemic arterial circulation. Young patients with embolic disease but no obvious source of thrombus may have underlying neoplastic disease. Venous thrombosis is a frequent complication of neoplastic disease. Arterial embolism associated with neoplasm is, however, not widely recognised.
authors: Department of Medicine and Pathology, Princess Margaret Hospital, Swindon.
authors: P J
authors: PJ
authors: Garrett
authors: K
authors: K
authors: Mulcahy
authors: R J
authors: RJ
authors: Burden
authors: W C
authors: WC
authors: Ng
authors: P A
authors: PA
authors: Price
mesh_terms: D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology*; D008080:Liposarcoma / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology; D012186:Retroperitoneal Neoplasms / Q000098:blood supply*; D013927:Thrombosis / Q000150:complications*