Conclusion:
Pulmonary embolism (PE) is associated with many etiologies, such as hematological disorders. Iron deficiency anemia (IDA) is a very rare etiology of PE. IDA may lead to relative thrombocytosis, causing hypercoagulation and venous thromboembolism. The patient was admitted to the hospital with chest pain, likely due to an acute pulmonary embolism (PE). A transthoracic echocardiogram showed an ejection fraction of 55%, mild mitral regurgitation, and moderate to severe tricuspid regurgitation. The patient was discharged on rivaroxaban and pain medication, with hematological monitoring. VTE has a well-established link to polycythemia and hyperviscosity. There are surprisingly few incidences of thromboembolism attributed to IDA. Given the possibility of anemic symptoms coexisting with PE signs such as difficulty breathing, there should be a considerable amount of worry for VTE.