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.
Gayer
G
G
Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer 52621, Israel. gayer_h@netvision.net.il
Mini
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S
Olchovsky
D
D
Leibovitch
I
I
Apter
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S
Weitzen
R
R
Hertz
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M