Upper limb cellulitis with superficial and deep vein thrombosis with pulmonary embolism

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Diabetic with fever, rapidly progressing right upper limb swelling and dyspnea

Patient Data

Age: 50 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Diffuse subcutaneus edema of right upper arm. 

Thrombosed cephalic vein in deltopectoral groove, thrombosed basilic vein in medial aspect of arm. thrombosed subclavian, internal jugular and external jugular veins.

Conclusion:
Cellulitis of right upper limb with thrombosis of superficial and deep veins.

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. 

Swelling, redness and ulceration over right hand and arm.

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