Right atrium floating thrombus and bilateral pulmonary embolism in a patient with pancreatic pseudocyst

Pulmonary embolism in the context of pancreatitis is a rare condition and even fewer cases of pulmonary embolism associated with pancreatic pseudocyst and chronic pancreatitis have been reported in the literature. We present the case of a patient diagnosed with chronic pancreatitis due to alcohol ingestion complicated with pancreatic pseudocyst, with no classic thrombogenic risk factors, who developed right atrial thrombus and massive bilateral pulmonary embolism. <Learning objective: Venous thromboembolism risk is present in acute pancreatitis or pancreatic cancer, but even chronic pancreatitis may promote thrombogenesis and trigger the development of a life-threatening condition such as pulmonary embolism. The presence of pancreatic pseudocyst may further increase this risk. Thromboembolism prophylaxis should be considered in patients with chronic pancreatitis.>.