Song Zikai, Lv Shijie, Qin Ling, Cao Hongyan, Wu Haidi, Deng Dayong
Department of Cardiology, First Hospital of Jilin University.
Department of Orthopedics, The General Hospital of First Automobile Work shop.
Medicine (Baltimore). 2018 Dec;97(52):e13798. doi: 10.1097/MD.0000000000013798.
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).
Here, we report a 21-year-old man admitted to our hospital due to syncope.
Clinical examinations upon admission demonstrated PE resulting in syncope. Further, a malignant TT, liver metastasis, and inferior vena cava (IVC) thrombosis were diagnosed.
Low molecular heparin was administered immediately after PE was diagnosed.
The patient suffered from cardiac arrest on hospitalization.
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.
静脉血栓栓塞症（VTE）包括深静脉血栓形成（DVT）和肺栓塞（PE），这可能是癌症患者的首发症状。PE有多种临床表现，是睾丸肿瘤（TT）的罕见并发症。
在此，我们报告一名因晕厥入院的21岁男性。
入院时的临床检查显示PE导致晕厥。此外，诊断出恶性TT、肝转移和下腔静脉（IVC）血栓形成。
诊断出PE后立即给予低分子肝素。
患者住院期间发生心脏骤停。
当年轻男性患者出现晕厥并被诊断为无法用常见原因解释的PE时，医生应考虑TT的可能性。应尽早对TT和PE进行治疗，以改善合并TT和PE患者的预后。
