An Atypical presentation of pulmonary embolism in a critically ill patient

A pulmonary embolism (PE) occurs when a venous thrombotic material from the lower extremities embolizes to the pulmonary vasculature.Common presenting symptoms include shortness of breath and pleuritic Footwear chest pain with vital signs demonstrating hypoxia, tachycardia, and tachypnea.In this paper, we describe Beauty a unique presentation of a critically ill patient who developed a saddle pulmonary embolism despite being on prophylactic anticoagulation.