Paget-Schroetter syndrome

Presentation

Female patient, she noticed oedema and numbness of left arm while combing her hair (elevation of the arm).

Patient Data

Age: 35

Bilateral thoracic outlet syndrome with thrombosis of the left subclavian vein

Modality: Ultrasound

Bilatetal compression of the subclavian veins when the patient hyperabducts her arms, compression at the costoclavicular space, conditioned by the clavicle and the first rib.

On the left side an echogenic image is visualized with partial flow when seen with color Doppler, consistent with thrombus

Case Discussion

Effort thrombosis, also known as Paget-Schroetter syndrome, is due to repetitive activity of the upper extremities with compression and thrombosis of the axillary-subclavian vein.

Any anatomical abnormality at the thoracic outlet and repetitive trauma are predisposing factors for its initiation.

This patient has bilateral thoracic outlet syndrome with a thrombus at the left subclavian vein, the costoclavicular space, which is anatomically limited superiorly by the clavicle, anteriorly by the subclavian muscle and posteriorly by the first rib and middle scalene muscle.

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Case Information

rID: 35677
Case created: 15th Apr 2015
Last edited: 18th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

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