ABSTRACT

Nephrotic syndrome (NS) is a well-known cause of hypercoagulability of blood with an associated risk of thromboembolism. Thromboembolism is the result of persistent proteinuria and increased production of hypercoagulable factors by the liver. One of the lethal complications of nephrotic syndrome is pulmonary embolism. There are a wide variety of presentations of pulmonary embolism ranging from sinus tachycardia to cardiogenic shock and sudden death. In our case report a young patient with nephrotic syndrome presented with dyspnea and extensive thrombosis in the form of thrombosis of inferior vena cava, a clot in the right atrium (RA), and pulmonary embolism.