Paget-von Schroetter Syndrome: Upper Extremity Deep Vein Thrombosis after Continuous Lifting of Heavy Weight.
Effort-induced axillary and/or subclavian vein thrombosis occurring in otherwise normal individuals is referred to as Paget-von Schroetter Syndrome (PVSS) or primary, effort-induced, upper extremity deep vein thrombosis (UEDVT). A 42-year old right-handed male presented with complaints of swelling over the left shoulder and arm and dull aching pain in the left arm for two days following regular lifting of heavy LPG gas cylinders. Left upper limb venous Doppler study revealed partial thrombus in the distal axillary vein and near total thrombus in the subclavian and basilic vein. He was managed with anticoagulation therapy.
Junior Specialist.
Charu
C
Shiva
Specialist, Department of Medicine, Sardar Vallabh Bhai Patel Hospital, New Delhi.
Meera
M
Saini
D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage; D006801:Humans; D008297:Male; D055070:Resistance Training / Q000009:adverse effects*; D013350:Subclavian Vein / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D034941:Upper Extremity / Q000098:blood supply*; D056824:Upper Extremity Deep Vein Thrombosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D014859:Warfarin / Q000008:administration & dosage*
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; D014859:Warfarin