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.
[1]Jilin Univ, Dept Cardiol, Hosp 1, 3302 Jilin Rd, Changchun 130031, Jilin, Peoples R China.
[2]First Automobile Work Shop, Dept Orthoped, Gen Hosp, Changchun, Jilin, Peoples R China.
[3]Jilin Prov Canc Hosp, Dept Radiol, 1018 Huguang Rd, Changchun 130012, Jilin, Peoples R China.
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