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Deep Vein Thrombosis in Upper Limb in a Weightlifter
Montserrat Pérez Pinar1, Regina Pastor Toledo1, Luis Broseta Viana1
1General Hospital of Villarrobledo, Villarrobledo (Albacete), Spain.
Open Access Macedonian Journal of Medical Sciences
|May 17, 2017
Summary
A weightlifter developed upper extremity venous thrombosis due to muscle compression. This rare case highlights the need to screen for renal carcinoma in patients with unusual venous thromboembolism.
Area of Science:
- Vascular Surgery
- Oncology
- Sports Medicine
Background:
- Paget-Schroetter syndrome, or effort thrombosis, involves venous compression in the upper extremity due to strenuous activity.
- While typically associated with repetitive overhead motions, underlying medical conditions can predispose individuals to this syndrome.
Observation:
- A male weightlifter presented with symptoms of upper extremity venous thrombosis.
- Diagnostic workup unexpectedly revealed a concurrent diagnosis of renal carcinoma.
Findings:
- The patient's venous thrombosis was attributed to compression of the subclavian-axillo-humeral veins by hypertrophied shoulder girdle muscles.
- Renal carcinoma is an uncommon comorbidity associated with upper extremity venous thrombosis.
Implications:
- This case underscores the critical importance of comprehensive medical evaluations in patients presenting with atypical venous thromboembolism.
- Investigating potential underlying malignancies, such as renal carcinoma, is crucial for effective patient management and prognosis.
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