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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Primary upper extremity deep vein thrombosis (effort thrombosis).
S M Ramadan1, E V Kasfiki2, Cwp Kelly3
1SpR Acute Internal Medicine & General Internal Medicine Hull University Teaching Hospitals NHS Trust.
Acute Medicine
|June 30, 2021
Summary
Primary spontaneous upper extremity deep vein thrombosis, often linked to thoracic outlet compression, presents as arm swelling in young males after strenuous activity. Diagnosis involves Doppler ultrasound, with treatment options including anticoagulation, thrombolysis, and surgery.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Internal Medicine
Background:
- Primary spontaneous upper extremity deep vein thrombosis (UEDVT) arises from thoracic outlet anatomical abnormalities causing axillosubclavian vein compression.
- This uncommon condition typically affects young males, presenting with unilateral arm swelling after intense upper extremity exertion.
Observation:
- A case report details a young, healthy, athletic male experiencing dominant arm pain and swelling post-weightlifting.
- The presentation mimicked secondary causes of deep vein thrombosis, necessitating comprehensive diagnostic evaluation.
Findings:
- Doppler ultrasound is the primary diagnostic tool for UEDVT.
- Exclusion of secondary causes through further investigations is crucial for accurate diagnosis and management.
Implications:
- Prompt diagnosis and appropriate treatment, including anticoagulation, thrombolysis, or surgery, are essential for managing UEDVT.
- Understanding the link between physical activity and UEDVT in athletes can inform preventative strategies and early intervention.
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