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Anasarca sparing one limb.

Arunkumar R Pande1, Ramesh Aggarwal, Sunita Sharma

  • 1Departments of Medicine and Pathology, Lady Hardinge Medical College, New Delhi, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|August 5, 2011
PubMed
Summary
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Upper extremity deep vein thrombosis, a condition affecting arm veins, can cause serious complications. Chylous ascites, a rare sign, aided in the early diagnosis and treatment of this challenging case.

Area of Science:

  • Vascular Medicine
  • Hematology

Background:

  • Upper extremity deep vein thrombosis (UEDVT) involves clot formation in the axillary or subclavian veins.
  • Delayed diagnosis of UEDVT can lead to severe complications, including pulmonary embolism.

Observation:

  • A rare case of UEDVT presented with atypical clinical manifestations, complicating diagnosis.
  • Chylous ascites was identified as a key, albeit unusual, diagnostic clue.

Findings:

  • The presence of chylous ascites facilitated the early identification of UEDVT.
  • Prompt diagnosis enabled timely initiation of treatment for the patient.

Implications:

  • This case highlights the importance of considering rare clinical signs in diagnosing challenging vascular conditions.
Keywords:
Chylous ascitesPaget-Schroetter syndromeupper extremity deep vein thrombosis

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  • Recognizing chylous ascites as a potential indicator for UEDVT can improve patient outcomes.