title: Effort thrombosis in a young triathlete: an unusual presentation of painless neck swelling secondary to right brachiocephalic vein thrombosis.
abstract: Effort thrombosis of the upper extremity is secondary to thrombosis of the axillary and/or subclavian veins that develop from heavy arm exertion. This case illustrates venous thrombosis of the right brachiocephalic vein in a 32-year-old man who presented with a cyst-like swelling in the right neck with no associated pain or trauma. Our patient, a trained athlete, was preparing for a triathlon at the time of presentation. He was treated by first-line therapy of subcutaneous and oral anti-coagulation medication. In this study, we highlight the importance of early investigation and treatment of symptomatic athletes so that long-term disability can be prevented. This study also shows the timely use of computed tomography imaging, which can help to identify the syndrome in previously undiagnosed patients.
authors: Dow University of Health Sciences, Baba-E-Urdu Road, PO Box #942943, Karachi 74200, Pakistan.
authors: A M B
authors: AM
authors: Allana
authors: L L S
authors: LL
authors: Teo
authors: B Y S
authors: BY
authors: Chuah
authors: T C
authors: TC
authors: Liu
authors: W K
authors: WK
authors: Cheah
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001132:Arm / Q000000981:diagnostic imaging; D056352:Athletes; D016121:Brachiocephalic Veins / Q000473:pathology*; D017984:Enoxaparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods; D056824:Upper Extremity Deep Vein Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin