Paget-Schroetter Syndrome: A Rare Case of Upper Extremity Deep Vein Thrombosis in a Young Swimmer
被引:2
作者:
Suwal, Amar
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机构:
Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USATower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
Suwal, Amar
[1
]
Rijal, Swarup Sharma
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机构:
Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
Tower Hlth, Reading Hosp, Internal Med, Reading, MA USATower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
Rijal, Swarup Sharma
[1
,2
]
Shrestha, Manish
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机构:
Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USATower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
Shrestha, Manish
[1
]
Munankami, Salina
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机构:
Kathmandu Med Coll, Gen Med, Kathmandu, NepalTower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
Munankami, Salina
[3
]
Basnet, Sijan
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机构:
Tower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USATower Hlth Med Grp, Internal Med, Wyomissing, PA 19610 USA
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
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.