Pulmonary embolism-the initial manifestation of renal cell carcinoma in a young woman.
We report a case of massive pulmonary embolus demonstrated on CT in a young woman presenting with dyspnea, with no known risk factors for embolism. Abdominal CT on further investigation showed a renal tumor invading the left renal vein and the inferior vena cava as the cause of the pulmonary embolus. In a patient presenting with pulmonary artery embolism without venous thrombosis, the differential diagnosis should include an occult tumor as the cause of the embolus.
Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer 52621, Israel. gayer_h@netvision.net.il
G
G
Gayer
S
S
Mini
D
D
Olchovsky
I
I
Leibovitch
S
S
Apter
R
R
Weitzen
M
M
Hertz