Upper extremity deep vein thrombosis

Case contributed by Kevan English
Diagnosis certain

Presentation

A duplex ultrasound was performed due to concerns about upper limb ischemia.

Patient Data

Age: 50 years
Gender: Female

US duplex upper extremity

ultrasound

 Findings:

  • left internal jugular vein; normal color flow, compression, and grayscale appearance

  • left brachial and subclavian veins; both veins are partially thrombosed with grayscale imaging showing echogenic material adherent to the vessel wall, partially filling the lumen of the vein

  • left axillary vein; normal color flow, compression, and grayscale appearance

Impression: non-occlusive thrombosis of the peripheral portion of the left subclavian vein and the central portion of the brachial vein.

Case Discussion

Upper extremity deep vein thrombosis (UEDVT) accounts for less than 6% of all deep vein thrombosis (DVTs). UEDVT may be complicated by post-thrombotic syndrome and pulmonary embolism; as a result, prompt recognition and treatment are necessary. Risk factors for UEDVT include strenuous activities, hypertrophied scalene muscles, and anatomical abnormalities. Treatment includes anticoagulation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.