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Axillosubclavian vein thrombosis: case report.
R B Leonard1, A R Forauer, R Petrilli
1Department of Emergency Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27103.
The Journal of Emergency Medicine
|January 1, 1991
Summary
Axillosubclavian vein thrombosis, a rare upper extremity deep-vein thrombosis, can cause serious illness. Prompt diagnosis and heparin treatment in the emergency department led to a young man's recovery.
Area of Science:
- Vascular Medicine
- Emergency Medicine
- Diagnostic Imaging
Background:
- Deep-vein thrombosis (DVT) typically affects the lower extremities, making upper extremity DVT, specifically axillosubclavian vein thrombosis, a less commonly recognized condition.
- Axillosubclavian vein thrombosis presents a diagnostic challenge in the emergency department (ED) due to its rarity and potential for significant morbidity.
Observation:
- A 23-year-old male presented to the ED with acute onset of left upper extremity pain and swelling.
- Clinical suspicion prompted diagnostic venography, which confirmed axillosubclavian vein thrombosis.
Findings:
- The patient received prompt hospitalization and treatment with intravenous heparin.
- Successful management resulted in a satisfactory clinical recovery, highlighting the efficacy of timely intervention.
Implications:
- This case underscores the importance of considering axillosubclavian vein thrombosis in the differential diagnosis for upper extremity symptoms presenting to the ED.
- Early recognition and appropriate anticoagulation are crucial for preventing complications and improving patient outcomes in cases of upper extremity DVT.
- Further research into predisposing factors and optimal management strategies for this rare condition is warranted.