Massive pulmonary embolism presenting initially as acute liver failure: A diagnostic challenge

Pulmonary embolism is a common life-threatening emergency that can rarely be linked with acute liver dysfunction. Literature reports a complex link between deranged liver function tests and acute PE with or without severe valvular disease. Detailed literature review, till date, has reported only two case reports of patients presenting initially as acute liver failure and later diagnosed with acute pulmonary embolism. We report a case of a young female who was initially admitted with an impression of acute liver failure and was later diagnosed as having acute massive pulmonary embolism.