Paget-Schroetter Syndrome: A Rare Case of Upper Extremity Deep Vein Thrombosis in a Young Swimmer

被引:2
作者
Suwal, Amar [1 ]
Rijal, Swarup Sharma [1 ,2 ]
Shrestha, Manish [1 ]
Munankami, Salina [3 ]
Basnet, Sijan [1 ]
机构
[1] Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
[2] Tower Hlth, Reading Hosp, Internal Med, Reading, MA USA
[3] Kathmandu Med Coll, Gen Med, Kathmandu, Nepal
关键词
therapeutic anticoagulation; first rib resection; thoracic outlet; upper extremity deep vein thrombosis; paget-schroetter syndrome;
D O I
10.7759/cureus.26060
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Paget-Schroefter syndrome (PSS) is a rare form of spontaneous upper extremity deep vein thrombosis associated with vigorous activity of the upper extremities. We present a rare case of a young swimmer who presented with a painful right upper extremity swelling, with compression ultrasound (CUS) revealing extensive venous clots in the basilic, axillary, and subclavian veins. Venous duplex revealed extrinsic compression of the subclavian vein, and catheter-based contrast venography confirmed our diagnosis of PSS. The patient was started on a therapeutic dose of subcutaneous enoxaparin and referred to a higher center for further intervention.
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页数:6
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