Venous thrombosis of unusual site: Paget-Schroetter syndrome

Authors

  • Jorge Carmelo Martínez-Gil Hospital universitario de Neiva, Colombia Universidad Surcolombiana, Colombia
  • Hubert Bahamon-Rivera Hospital universitario de Neiva, Colombia Universidad Surcolombiana, Colombia
  • Silvana Jimenez-Salazar Universidad de Sucre, Colombia
  • Kenny Buitrago-Toro Universidad de Sucre, Colombia
  • Ana María Baldovino-Chiquillo Universidad tecnologica de pereira
  • Jaime Andrés- Arango Hospital Universitario Hernando Moncaleano Perdomo, Neiva, ColombiaTrombosis venosa de sitio inusual: Síndrome de Paget-Schroetter

Keywords:

COLOMBIA, EXTREMIDAD SUPERIOR, TROMBOSIS VENOSA PROFUNDA DEL MIEMBRO SUPERIOR, VENA SUBCLAVIA

Abstract

Background: venous thromboembolic disease is a frequent clinical illness, associated with multiple risk factors already identified. There are presentations with atypical locations such as thrombosis in the upper limb. The etiology in the 30% of cases is the hypertrophy of the scapular waist muscles (Paget-Schroetter syndrome), which should always be suspected in healthy patients that practice sports to their maximum level, where both pharmacological and surgical treatment will offer an adequate alternative.
Objective: to present a young patient with venous thrombosis of unusual site in the upper limb.
Presentation of the case: we present the case of a 20-year-old healthy patient, previously a high-performance athlete, who went to consultation for a sub-acute symptomps of inflammatory signs and collateral circulation in the left upper limb, with subsequent confirmation of unusual site venous thrombosis. The common etiologies are ruled out and, finally, scalene hypertrophy known as Paget-Schroetter syndrome is confirmed. Given the duration of the symptoms, the anticoagulation is initially handled and subsequently he is surgically treated with an adequate response.
Conclusions: the presence of unusual site venous thrombosis in upper limb in young, healthy and athletic patients forces us to be suspicious about the Paget-Schroetter syndrome as the main etiology allowing the correct handling and prognosis.

DeCS: UPPER EXTREMITY DEEP VEIN THROMBOSIS/surgery; UPPER EXTREMITY DEEP VEIN THROMBOSIS/etiology; UPPER EXTREMITY DEEP VEIN THROMBOSIS/diagnosis; UPPER EXTREMITY DEEP VEIN THROMBOSIS/drug therapy; ANTICOAGULANTS/therapeutic use.

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Author Biographies

Jorge Carmelo Martínez-Gil, Hospital universitario de Neiva, Colombia Universidad Surcolombiana, Colombia

Residente de medicina interna

Hospital Universidario de Neiva, Universidad Surcolombiana. Colombia

Hubert Bahamon-Rivera, Hospital universitario de Neiva, Colombia Universidad Surcolombiana, Colombia

Residente de medicina interna

Hospital Universidario de Neiva, Universidad Surcolombiana. Colombia

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Published

2019-06-01

How to Cite

1.
Martínez-Gil JC, Bahamon-Rivera H, Jimenez-Salazar S, Buitrago-Toro K, Baldovino-Chiquillo AM, Andrés- Arango J. Venous thrombosis of unusual site: Paget-Schroetter syndrome. Arch méd Camagüey [Internet]. 2019 Jun. 1 [cited 2025 Oct. 12];23(3):374-81. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/6208

Issue

Vol. 23 No. 3 (2019)

Section

Case Reports

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