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🛑🛑Acute pulmonary embolism with no evidence of upper or lower limb DVT should raise the suspicion of ...

⏯⏯Renal or adrenal vein thrombosis in case of unexplained flank pain with possible symptoms and signs of hypoadrenal state or possible renal carcinoma >>> CT abdomen with contrast...

⏯⏯Pelvic vein thrombosis , in case of unexplained lower abdominal pain ( post pelvic surgery or postpartum ) >>> do CT or MR venogram .

⏯⏯Hepatic vein thrombosis ( Budd Chiari syndrome) in association with acute hepatomegaly , tender liver and ascites.

⏯⏯Splenic vein thrombosis in case of unexplained tender splenomegaly .

⏯⏯Thrombophilia screen would be recommend in these cases in the absence of clear risk factor ( do not forget possible Behcet disease , PNH , Nephrotic syndrome in addition to routine inherited thrimbophilias )...