03 November 2025
: Case report 
Right Ventricular Volume Overload Mimicking Pulmonary Embolism: A Case of Intraoperative Fluid Absorption-Induced Ventricular Interdependence
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)
Chunliang Wang
BCDE 1, Yuzhu Fan AEF 2*, Juan Wang BCF 1, Yu Chen BCD 3, Ying Cui BCD 4, Hongzhao Zhang BCD 5
DOI: 10.12659/AJCR.950003
Am J Case Rep 2025; 26:e950003
Table 1 Laboratory data.
| Parameters | Reference ranges | On admission | Day 10 |
|---|---|---|---|
| White cell count (10/L) | 4.0–10.0 | 11.2 | 8.2 |
| Neutrophil count (10/L) | 2.0–7.5 | 9.8 | 5.1 |
| Neutrophil percentage (%) | 50–70 | 87.5 | 62.1 |
| C-reactive Protein (mg/L) | 0–10 | 80.6 | 12.1 |
| Procalcitonin (ng/ml) | 0–0.05 | 3.14 | 0.03 |
| Urea nitrogen (mmol/L) | 2.86–7.14 | 8.69 | 7.03 |
| Creatinine (umol/L) | 0–88.4 | 90.3 | 106 |
| Aspartate aminotransferase (U/L) | 0–40 | 52 | 31 |
| Alanine aminotransferase (U/L) | 0–40 | 48 | 27 |
| Troponin I (ug/L) | 0–0.1 | 0.08 | 0.02 |
| CK-MB (U/L) | 0–25 | 8 | 21 |
| NT-proBNP (pg/ml) | 0–125 | 236 | 3892 |
| D-dimer (ug/ml) | 0–0.5 | 0.78 | 1.06 |
| Lactic acid (mmol/L) | 0–2 | 2.1 | 2.6 |
| Sodium (mmol/L) | 135–145 | 141 | 132 |
| Potassium (mmol/L) | 3.5–5.5 | 3.7 | 3.2 |
| PH | 7.35–7.45 | 7.36 | 7.32 |
| PaO (mmhg) | 60–100 | 78 | 66 |
| Oxygenation index | 400–500 | 371 | 132 |
| PaCO (mmhg) | 35–45 | 41 | 31.9 |