Abstract
This case of upper extremity deep vein thrombosis is selected for case report as it is a rare form of deep vein thrombosis without a very well established treatment modality and prognosis. The objective of this study was to report the outcome of a 25 years old male patient with idiopathic upper extremity deep vein thrombosis treated conservatively with low molecular weight heparin (LMWH) and oral warfarin. The data sources used were patient interview, laboratory and radiology investigation results and patient charts. The patient had no apparent recurrence or complication for 3 years except the presence of occasional dull pain over the affected left upper extremity.
Highlights
Upper extremity deep vein thrombosis (UEDVT) is an increasingly important clinical entity with potential for considerable morbidity
The patient was followed for three years without any apparent complications or relapse except a mild occasional pain on the affected limb
Clinical presentation of major venous thrombosis in the upper limb usually presents with swelling of the upper limb, prominence of superficial veins and neurological symptoms [5]
Summary
Upper extremity deep vein thrombosis (UEDVT) is an increasingly important clinical entity with potential for considerable morbidity. Deep vein thrombosis (DVT) of the upper limbs can be primary or secondary [1]. PagetSchroetter syndrome, a primary upper extremity deep vein thrombosis (UEDVT), is a rare form of DVT with an incidence of 2 per 100,000 persons per year [2]. PagetSchroetter syndrome (Effort thrombosis) most commonly occurs in young healthy men It appears more often in the dominant limb as it is associated with effort or strenuous activity [3]. Just a day before the onset of the swelling, he carried a heavy television set to his house He had a history of pleural tuberculosis which was successfully cured after antituberculosis treatment. A Doppler imaging done after the third month of initiation of warfarin treatment revealed complete recanalization of the subclavian/axillary vein and development of collateral circulation. The patient was followed for three years without any apparent complications or relapse except a mild occasional pain on the affected limb
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