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Subclavian Vein Thrombosis Extending into the Internal Jugular Vein: Paget-von Schroetter Syndrome.

Ilhan E, Ture M, Yilmaz C, Arslan M - J Clin Med Res (2009)

Bottom Line: It is prevalent among young and healthy adult males who engage in sports.At Doppler US and MR angiography, subclavian vein thrombosis extending into the internal jugular vein was detected.Thrombolytic treatment ensured continuous venous flow and the patient's complaints decreased.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

ABSTRACT

Unlabelled: Paget-von Schroetter syndrome refers to spontaneous thrombosis of the subclavian vein and constitutes 0.5-1% of all venous thromboses. It is prevalent among young and healthy adult males who engage in sports. Early diagnosis and treatment is essential to avoid long-term sequelae. Herein, we report a 42-year-old male weightlifter who presented with swelling of the left arm, pain and a feeling of tightness in the anterior chest wall. At Doppler US and MR angiography, subclavian vein thrombosis extending into the internal jugular vein was detected. Thrombolytic treatment ensured continuous venous flow and the patient's complaints decreased.

Keywords: Veins; Thrombosis; Thorombolytic therapy.

No MeSH data available.


Related in: MedlinePlus

Transverse color Doppler image demonstrates prominent cervical venous collateralisation.
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Figure 4: Transverse color Doppler image demonstrates prominent cervical venous collateralisation.

Mentions: A 42-year-old male presented with pain and swelling of the left arm after a sequence of intense, repetitive weightlifting exercises. Upon questioning, he disclosed that he had been engaged with weightlifting for a long time and had complaints for a while. His medical history was unremarkable. Laboratory tests were positive for antithrombin 3 and factor leiden, agents that facilitate coagulation. Based on these findings, upper-extremity effort thrombosis was suspected. Thereafter, contrast enhanced upper-extremity venous MR angiography (MRA) and color Doppler US (CDUS) were performed to verify the diagnosis. Contrast-enhanced MRA revealed near-complete occlusion of the proximal left subclavian vein and distal collateral formations (Fig. 1). CDUS showed a heterogeneous thrombotic mass that filled almost the entire proximal segment of the left subclavian vein (Fig. 2). Thrombosis extended into the proximal segment of the left internal jugular vein (IJV) (Fig. 3). Furthermore, extensive venous collateral formations were presented in the left proximal cervical localization (Fig. 4). Both MR angiographic and sonographic findings were consistent with PSS.


Subclavian Vein Thrombosis Extending into the Internal Jugular Vein: Paget-von Schroetter Syndrome.

Ilhan E, Ture M, Yilmaz C, Arslan M - J Clin Med Res (2009)

Transverse color Doppler image demonstrates prominent cervical venous collateralisation.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3318882&req=5

Figure 4: Transverse color Doppler image demonstrates prominent cervical venous collateralisation.
Mentions: A 42-year-old male presented with pain and swelling of the left arm after a sequence of intense, repetitive weightlifting exercises. Upon questioning, he disclosed that he had been engaged with weightlifting for a long time and had complaints for a while. His medical history was unremarkable. Laboratory tests were positive for antithrombin 3 and factor leiden, agents that facilitate coagulation. Based on these findings, upper-extremity effort thrombosis was suspected. Thereafter, contrast enhanced upper-extremity venous MR angiography (MRA) and color Doppler US (CDUS) were performed to verify the diagnosis. Contrast-enhanced MRA revealed near-complete occlusion of the proximal left subclavian vein and distal collateral formations (Fig. 1). CDUS showed a heterogeneous thrombotic mass that filled almost the entire proximal segment of the left subclavian vein (Fig. 2). Thrombosis extended into the proximal segment of the left internal jugular vein (IJV) (Fig. 3). Furthermore, extensive venous collateral formations were presented in the left proximal cervical localization (Fig. 4). Both MR angiographic and sonographic findings were consistent with PSS.

Bottom Line: It is prevalent among young and healthy adult males who engage in sports.At Doppler US and MR angiography, subclavian vein thrombosis extending into the internal jugular vein was detected.Thrombolytic treatment ensured continuous venous flow and the patient's complaints decreased.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

ABSTRACT

Unlabelled: Paget-von Schroetter syndrome refers to spontaneous thrombosis of the subclavian vein and constitutes 0.5-1% of all venous thromboses. It is prevalent among young and healthy adult males who engage in sports. Early diagnosis and treatment is essential to avoid long-term sequelae. Herein, we report a 42-year-old male weightlifter who presented with swelling of the left arm, pain and a feeling of tightness in the anterior chest wall. At Doppler US and MR angiography, subclavian vein thrombosis extending into the internal jugular vein was detected. Thrombolytic treatment ensured continuous venous flow and the patient's complaints decreased.

Keywords: Veins; Thrombosis; Thorombolytic therapy.

No MeSH data available.


Related in: MedlinePlus