Gowrinath, KSheshadri, ShubhaSean, T G2006-01-182009-05-272006-01-182009-05-272006-01-18Gowrinath K, Sheshadri S, Sean TG. Successful outcome of medical therapy in a case of acute massive pulmonary thromboembolism presenting with saddle thromboembolus. The Indian Journal of Chest Diseases & Allied Sciences. 2006 Jan-Mar; 48(1): 71-3http://imsear.searo.who.int/handle/123456789/29345Antemortem diagnosis of acute massive pulmonary thromboembolism (PTE) with a large thromboembolus at the bifurcation of the pulmonary trunk (saddle thromboembolus) is difficult, as most patients either die or are too ill for any diagnostic imaging. We report a case of massive PTE where constrast enhanced computed tomographic (CECT) scan of chest detected a saddle thromboembolus and showed its resolution with anticoagulant treatment. In our case, the presenting feature was unusual massive PTE as there was no haemodynamic instability or hypoxaemia.engAnticoagulants --therapeutic useEnoxaparin --therapeutic useFemoral VeinHumansMaleMiddle AgedPopliteal VeinPulmonary Embolism --diagnosisTomography, X-Ray ComputedTreatment OutcomeVenous Thrombosis --complicationsWarfarin --therapeutic useCase Reports