An unusual case of deep vein thrombosis of the upper extremity following breast reduction

Breast reduction surgery is a commonly performed procedure relieving physical discomfort and improving quality of life for individuals with macromastia. Despite its benefits, there are inherent risks associated with surgical intervention, one of which is the development of deep vein thrombosis (DVT). This relatively rare complication can lead to significant morbidity and mortality if not recognized and managed properly. We present a case of a 28-year-old female who underwent bilateral breast reduction surgery consequently developing swelling, pain and discoloration of her left arm. Duplex ultrasound confirmed the diagnosis of upper extremity DVT. The patient was immediately started on anticoagulation therapy and subsequently resolution of thrombosis and was confirmed by Duplex ultrasound. Lower extremity DVT is a rare complication following breast reduction surgery. Yet, we present the first case of upper extremity DVT following breast reduction, to our knowledge. Clinicians should maintain a high index of suspicion for this condition, particularly in patients with predisposing risk factors.