Esposito Melisa, Das Sulagna, Roca Alvarez Yulith, Schwartz Lyndi
Internal Medicine, Kettering Health, Dayton, USA.
Internal Medicine, Kettering Health Main Campus, Kettering, USA.
Cureus. 2023 Apr 28;15(4):e38253. doi: 10.7759/cureus.38253. eCollection 2023 Apr.
Syncope is a common chief complaint among patients presenting to the emergency department, the etiology of which can often be discerned with a thorough history and physical examination. Inversely, liposarcomas are rare tumors that frequently pose a diagnostic challenge as the clinical presentation is highly nonspecific and varies greatly depending on the anatomic location and size of the tumor. Here we present a case of retroperitoneal liposarcomas (RLS) presenting to the emergency department (ED) with a sole complaint of syncope, resulting in a diagnostic dilemma. This clinical scenario highlights the significance of thorough physical examination regardless of the presenting chief complaint, as unexpected physical examination findings prompted an extended work-up and thus facilitated the diagnosis, providing the opportunity for early intervention and resection of the tumor.
晕厥是急诊科患者常见的主要诉求，通过详细的病史询问和体格检查通常能够明确其病因。相反，脂肪肉瘤是罕见肿瘤，由于临床表现高度非特异性，且因肿瘤的解剖位置和大小不同而有很大差异，常常给诊断带来挑战。在此，我们报告一例腹膜后脂肪肉瘤（RLS）患者，其因单纯晕厥就诊于急诊科，导致诊断陷入困境。这一临床病例突出了无论主要诉求如何，全面体格检查的重要性，因为意外的体格检查发现促使进一步检查，从而有助于诊断，为肿瘤的早期干预和切除提供了机会。
