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Related Concept Videos

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
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The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Lipoma causing upper extremity deep vein thrombosis: a case report.

Balavani Palamari1, Jerome F Breen, Waldemar E Wysokinski

  • 1Division of Cardiovascular Medicine, Mayo Clinic and Foundation for Education and Research, Rochester, MN 55905, USA.

Journal of Thrombosis and Thrombolysis
|September 4, 2009
PubMed
Summary

A large lipoma compressing the subclavian vein caused upper extremity deep venous thrombosis (UEDVT). Surgical removal of the lipoma resolved symptoms, highlighting a rare cause of venous congestion.

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Area of Science:

  • Vascular Surgery
  • Hematology

Background:

  • Subclavian vein compression can lead to upper extremity deep venous thrombosis (UEDVT).
  • Lipomas are benign tumors rarely causing significant vascular compression.

Observation:

  • A patient presented with UEDVT and venous congestion attributed to a large lipoma in the infraclavicular and axillary region.
  • The patient was also identified as a heterozygous carrier of the prothrombin 20210 gene mutation.

Findings:

  • Surgical excision of the lipomatous mass was performed.
  • The patient received six months of anticoagulation therapy prior to surgery.

Implications:

  • This case highlights lipoma as a potential, albeit rare, cause of subclavian vein compression and subsequent UEDVT.
  • Complete symptom resolution following surgical lipoma removal underscores the importance of considering extrinsic compression in UEDVT etiology.
  • Co-existing prothrombin gene mutation may influence thrombotic risk but did not preclude successful surgical management.