{Reference Type}: Case Reports {Title}: Saddle pulmonary embolism in a pediatric patient with nephrotic syndrome and recent COVID-19 pneumonia: A case report. {Author}: Cristoforo T;McKinley G;Ambrosio P; {Journal}: Am J Emerg Med {Volume}: 48 {Issue}: 0 {Year}: 10 2021 {Factor}: 4.093 {DOI}: 10.1016/j.ajem.2021.04.014 {Abstract}: 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.