%0 Case Reports %T Saddle pulmonary embolism in a pediatric patient with nephrotic syndrome and recent COVID-19 pneumonia: A case report. %A Cristoforo T %A McKinley G %A Ambrosio P %J Am J Emerg Med %V 48 %N 0 %D 10 2021 %M 33958247 %F 4.093 %R 10.1016/j.ajem.2021.04.014 %X The pediatric population accounts for a small portion of those with severe disease related to COVID-19. There are few published reports of hypercoagulable states in children with COVID-19. We describe an 11-year-old male with nephrotic syndrome who required inpatient treatment for COVID-19 pneumonia eight weeks prior. He returned to the emergency department with vomiting, tachypnea and was found to have a pulmonary embolism. In this case report, we discuss the risk factors for, presentation and evaluation of hypercoagulable state and its relation to COVID-19 in a pediatric patient.