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.