Cancer and thromboembolism relationship has been acknowledged for many years. Pulmonary embolism is associated with significant morbidity and mortality in patients with cancer. A more significant line of research needs to be done to investigate thromboembolism in cancer. Ultrasonography is a reliable diagnostic bedside test for PTE in critically ill and immobile patients. In this review, we want to display a case with both obstructive and hypovolemic shock and how ultrasonography can assist us to diagnose it.