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Case Reports in Medicine
Volume 2018, Article ID 9141529, 3 pages
https://doi.org/10.1155/2018/9141529
Case Report

Syncope: An Atypical Presentation of Pulmonary Embolism Secondary to Occult Uterine Malignancy

1Department of Internal Medicine, Brandon Regional Hospital, Brandon, FL, USA
2R-Endocrinology, Hamilton, NJ, USA
3National Institute of Cardiovascular Diseases, Karachi, Pakistan

Correspondence should be addressed to Zulfiqar Qutrio Baloch; moc.liamg@oirtuq.raqifluz

Received 12 January 2018; Revised 15 May 2018; Accepted 22 May 2018; Published 12 July 2018

Academic Editor: Simone Cesaro

Copyright © 2018 Zulfiqar Qutrio Baloch et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

All syncopal patients who present to the emergency department should be considered for pulmonary embolism (PE) as part of their differential diagnosis. PE presenting as a syncopal episode and associated with occult uterine malignancy is uncommon. Review of the literature indicates that up to 10% of patients with unprovoked venous thromboembolism (VTE) are diagnosed with cancer in the year following that first episode of VTE. In patients suspected of having a PE who do not manifest any source of an embolism require eventual workup to screen for an occult malignancy. Here, we report a 74-year-old female who presented to the emergency department following an unexplained sudden loss of consciousness and eventually was found to have a massive saddle embolus caused by a uterine malignancy-induced VTE.