Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome
Paget-Schroetter syndrome is thrombosis of the axillary-subclavian vein that is associated with strenuous and repetitive activity of the upper extremities. Overuse of the arm coupled with external compression results in microtrauma in the intima of the subclavian vein, resulting in the activation of...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/8764903 |
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| author | Himani Sharma Abhinav Tiwari |
| author_facet | Himani Sharma Abhinav Tiwari |
| author_sort | Himani Sharma |
| collection | DOAJ |
| description | Paget-Schroetter syndrome is thrombosis of the axillary-subclavian vein that is associated with strenuous and repetitive activity of the upper extremities. Overuse of the arm coupled with external compression results in microtrauma in the intima of the subclavian vein, resulting in the activation of the coagulation cascade. Diagnosis is usually made by Doppler ultrasound and the treatment involves thrombolysis, while routine surgical decompression of the thoracic outlet is controversial. In this report, we present a case of a patient who presented with a second episode of spontaneous right upper extremity deep venous thrombosis. The first episode was inadequately treated with oral anticoagulation alone. During the second episode, Paget-Schroetter syndrome was diagnosed, after careful review of his occupational history. He subsequently underwent angioplasty and decompression of thoracic outlet with no recurrence of thrombosis in a 12-month follow-up period. |
| format | Article |
| id | doaj-art-488b1c492f614e30b78a29fbd2877b82 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-488b1c492f614e30b78a29fbd2877b822025-02-03T05:58:11ZengWileyCase Reports in Vascular Medicine2090-69862090-69942017-01-01201710.1155/2017/87649038764903Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter SyndromeHimani Sharma0Abhinav Tiwari1Department of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USADepartment of Internal Medicine, University of Toledo Medical Center, Toledo, OH, USAPaget-Schroetter syndrome is thrombosis of the axillary-subclavian vein that is associated with strenuous and repetitive activity of the upper extremities. Overuse of the arm coupled with external compression results in microtrauma in the intima of the subclavian vein, resulting in the activation of the coagulation cascade. Diagnosis is usually made by Doppler ultrasound and the treatment involves thrombolysis, while routine surgical decompression of the thoracic outlet is controversial. In this report, we present a case of a patient who presented with a second episode of spontaneous right upper extremity deep venous thrombosis. The first episode was inadequately treated with oral anticoagulation alone. During the second episode, Paget-Schroetter syndrome was diagnosed, after careful review of his occupational history. He subsequently underwent angioplasty and decompression of thoracic outlet with no recurrence of thrombosis in a 12-month follow-up period.http://dx.doi.org/10.1155/2017/8764903 |
| spellingShingle | Himani Sharma Abhinav Tiwari Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome Case Reports in Vascular Medicine |
| title | Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome |
| title_full | Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome |
| title_fullStr | Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome |
| title_full_unstemmed | Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome |
| title_short | Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome |
| title_sort | recurrent upper extremity thrombosis associated with overactivity a case of delayed diagnosis of paget schroetter syndrome |
| url | http://dx.doi.org/10.1155/2017/8764903 |
| work_keys_str_mv | AT himanisharma recurrentupperextremitythrombosisassociatedwithoveractivityacaseofdelayeddiagnosisofpagetschroettersyndrome AT abhinavtiwari recurrentupperextremitythrombosisassociatedwithoveractivityacaseofdelayeddiagnosisofpagetschroettersyndrome |