Upper limb cellulitis with superficial and deep vein thrombosis with pulmonary embolism
Presentation
Diabetic with fever, rapidly progressing right upper limb swelling and dyspnea.
Patient Data
Age: 50 years
Gender: Male
From the case:
Upper limb cellulitis with superficial and deep vein thrombosis with pulmonary embolism
Ultrasound
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Longitudinal
Diffuse subcutaneus edema along right arm
Cellulitis of right upper limb with thrombosis of superficial and deep veins.
From the case:
Upper limb cellulitis with superficial and deep vein thrombosis with pulmonary embolism
CT
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Axial C+ portal venous phase
Pulmonary CT angiography showed a large thrombus in right main pulmonary artery with dilated right sided cardiac chambers, IVC and hepatic veins. CT venography of the upper limbs and neck showed thrombosis of right internal and external jugular veins and proximal brachial and subclavian veins.
From the case:
Upper limb cellulitis with superficial and deep vein thrombosis with pulmonary embolism
Photo
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Swelling, redness and ulceration over right hand and arm.