Document Detail

Effort-induced venous thrombosis of the upper limbs.
MedLine Citation:
PMID:  16763398     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report 3 patients who presented with effort-induced thrombosis of the upper limbs.
CASE PRESENTATIONS AND INTERVENTION: The 1st patient presented with a 2-week history of fever, shortness of breath, and increasing swelling of the neck after strenuous manual work. The 2nd patient presented with a 2-day history of pain, swelling, and discolouration of the right upper limb following a session of intense weight lifting. The 3rd patient presented with a 2-day history of swelling, pain, and discolouration of the left upper limb due to repeated rotatory movements of the arm at work. In all 3 cases, the diagnosis of effort-induced thrombosis of subclavian and axillary veins was made. In the 1st case, the lesion was bilateral and complicated by superior vena cava obstruction. In the 2nd and in the 3rd case, right and left subclavian veins were thrombosed, respectively. After consulting the vascular team, anticoagulation therapy was initiated in all 3 cases. The patients described showed gradual recovery with eventual recanalization of the thrombosed veins on follow-up.
CONCLUSIONS: These cases indicate the need to consider thrombosis of the subclavian vein as a part of the differential diagnosis in a patient with a history of strenuous manual work. Therapeutic options include immediate anticoagulation or thrombolysis, while vascular surgery should remain an option for cases with underlying anatomical anomalies.
M Y Z Youssef; T Al Taweel; S Asfar; N Abdella
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical principles and practice : international journal of the Kuwait University, Health Science Centre     Volume:  15     ISSN:  1011-7571     ISO Abbreviation:  Med Princ Pract     Publication Date:  2006  
Date Detail:
Created Date:  2006-06-09     Completed Date:  2007-01-12     Revised Date:  2013-07-15    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  299-302     Citation Subset:  IM    
Copyright Information:
Copyright 2006 S. Karger AG, Basel.
Department of Medicine, Mubarak Al-Kabeer Hospital, Kuwait.
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MeSH Terms
Anticoagulants / therapeutic use
Axillary Vein*
Heparin / therapeutic use
Physical Exertion*
Subclavian Vein*
Upper Extremity / blood supply*
Venous Thrombosis / drug therapy,  etiology*
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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