MEMC - GREAT Rome (Italy), 05/09/2015 - 09/09/2015 Topic: Critical Care
T129
A CASE OF UNUSUAL ARM SWELLING IN A YOUNG MAN
J. Ashkar 1
1
Emergency Medicine Department, Hadera, Israel, Emergency Medicine Department, Hadera, Israel
2
Emergency Medicine Department, Hadera, Israel,
3
Background: MD Jalal Ashkar, MD Pavel Peschansky, MD Margarita Medvedovsky, MD Igor Tulchinsky, The Emergency Department Hillel yaffe Medical Center, Hadera Israel Spontaneous thrombosis of the veins draining the upper extremity was postulated by Sir James Paget in 1875 as a cause of acute pain and swelling of the arm, but von Schroetter, in 1884, was the first to relate the clinical syndrome to thrombotic occlusion of the axillary and subclavian veins . It was not until 1949 when Hughes, in a review of 320 patients, recognized this disease process as a unique disorder and named it Paget- Schroetter syndrome. Methods: Although rare (1%to 2% of all cases of deep venous thrombosis), this disease cause significant disability in a predominantly young, healthy, active patient population. Moreover, there have been several reports documenting a significant incidence of disability, ranging from 25%to 75%, in untreated patients who develop chronic upper extremity venous hypertension and /or recurrent venous thrombosis. Results: We report this case of effort thrombosis of the upper extremity (Paget- Schroetter syndrome) caused by hypertrophied muscles. This unusual cause of extrinsic venous compression and intimal injury leading to thrombosis was treated with good outcome. Conclusions: We report this case of effort thrombosis of the upper extremity (Paget- Schroetter syndrome) caused by hypertrophied muscles. This unusual cause of extrinsic venous compression and intimal injury leading to thrombosis was treated with good outcome.