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Related Experiment Video

Updated: Dec 29, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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[Idiopathic axillary web syndrome].

A B Puentes Gutiérrez1, M García Bascones1, R Puentes Gutiérrez1

  • 1Servicio de Rehabilitación, Hospital Virgen de la Salud, Toledo, España.

Rehabilitacion
|February 3, 2020
PubMed
Summary
This summary is machine-generated.

Idiopathic axillary web syndrome (AWS) can occur without prior surgery or infection. This rare condition presents similarly to postoperative AWS, responding well to conservative management.

Keywords:
Axillary web syndromeDolorIdiopathicIdiopáticoIntercostobrachial nerveNervio intercostobraquialPainSíndrome axillary web

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Area of Science:

  • Medicine
  • Dermatology
  • Neurology

Background:

  • Axillary web syndrome (AWS) is typically associated with post-surgical lymphatic changes after breast cancer treatment.
  • The exact etiopathogenesis of AWS remains unclear, even in its common postoperative presentation.

Observation:

  • A 67-year-old woman presented with a subcutaneous cord from the axilla to the medial arm and neuropathic pain.
  • The patient had no history of surgery or infection, leading to a diagnosis of exclusion: idiopathic axillary web syndrome (AWS).

Findings:

  • The patient's condition improved with conservative home exercises.
  • Residual mild symptoms persisted, characterized by a small cord and reduced dysesthesia upon arm abduction.

Implications:

  • This case highlights the possibility of idiopathic AWS, distinct from post-surgical or post-infectious presentations.
  • The clinical course and presentation of idiopathic AWS mirror those of postoperative AWS, suggesting shared underlying mechanisms.
  • Further research into the pathogenesis of AWS is warranted, particularly for non-surgical cases.