PARADOXICAL CEREBRAL EMBOLISM ORIGINATING FROM THROMBUS IN TUMOUR VEINS AS PRESENTING MANIFESTATION OF RETROPERITONEAL UPOSARCOMA |
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Authors: | P J Garrett MD K Mulcahy MB R J Burden MRCP W C Ng MRCPath P A Price MRCP |
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Institution: | Departments of Medicine and Pathology, Princess Margaret Hospital, Swindon |
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Abstract: | The coincidence of pulmonary and systemic emboli suggests paradoxical embolism. We present the case of a young man in whom a blood clot travelled from the veins in a retroperitoneal liposarcoma via a patent foramen ovalis to the systemic arterial circulation. Young patients with embolic disease but no obvious source of thrombus may have underlying neoplastic disease. Venous thrombosis is a frequent complication of neoplastic disease. Arterial embolism associated with neoplasm is, however, not widely recognised. |
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