PY Loung, NC Fong, KC Tse

Abstract

This is a case report of massive pulmonary embolism, an uncommon condition in the paediatric population, in a boy who presented with acute onset shortness of breath. The use of tissue plasminogen activator, a form of thrombolytic therapy not commonly used in children, reversed the critical condition of our patient who eventually made a good recovery. Literature review of the disease was performed and the epidemiology, clinical features, investigation tools and strategies and management are discussed.