Paget Schrötter syndrome

Case contributed by Dra Julieta Rosana Crosta

Presentation

Pain and swelling in the upper right arm. The patient was a building worker, who has been lifting heavy material the last days.

Patient Data

Age: 35 years
Gender: Male
Photo

Evident superficial collateralization in the chest, shoulder and upper right limb.

Ultrasound

Increased venous diameters of the right subclavian, axillary and brachial veins. There is a hypoechoic thrombus inside. With color Doppler, no vascular flow is detected within the veins. The arteries are patent. 

Case Discussion

The patient had evident clinical signs of deep vein thrombosis (DVT) in the upper right limb veins, because of the numerous collateral veins seen in the chest and shoulder. The ultrasound confirmed acute DVT.

As in the last few days, the patient had been working in construction, lifting heavy supplies, Paget-Schrötter syndrome was suspected. Other causes and associations such as tumors have been excluded by CT.

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Case information

rID: 71185
Published: 24th Sep 2019
Last edited: 24th Sep 2019
System: Vascular
Inclusion in quiz mode: Included

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