Report of a clinical case with Paget-Schroetter Syndrome
Keywords:
anticoagulants, Paget-Schroetter syndrome, ultrasonography.Abstract
Introduction: Paget-Schroetter syndrome (PSS) is a primary deep vein thrombosis of the subclavian-axillary venous complex that occurs after repetitive and strenuous use of the shoulders and arms. It shows an incidence of 1 per 100,000 people per year. It is reported more frequently in young athletes.Objective: To present an unusual case of Paget-Schroetter syndrome in a young non-athlete individual.
Clinical case: 24-year-old active military man with no personal pathological history is presented, who was admitted with inflammation of the left upper limb of 24 hours of evolution. He presented a thrombosis of the left cephalic vein after a physical effort of loading and unloading. After ruling out secondary hypercoagulability disorders, he was diagnosed with SPS. He was informed of the option of surgical intervention, but he declined it. The diagnosis was confirmed with Doppler ultrasound and treated with intravenous anticoagulation at the beginning, and then orally for 6 months. During the follow-up of the patient, there was no evidence of chronic thrombosis of the left cephalic vein or interval formation of vascular collaterals.
Conclusions: SPS is a clinical condition that requires a high index of suspicion and prompt diagnosis, therefore, physicians must be attentive to this rare entity for early recognition and timely referral to vascular surgery.
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References
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9. Tanabe H, Miyamori D, Shigenobu Y, Ito Y, Kametani T, Kakimoto M, et al. Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review. Intern Med. 2020; 59(20):2623-7. DOI: 10.2169/internalmedicine.4349-20
10. Sangani V, Pokal M, Balla M, Gayam V, Konala VM. Paget-Schroetter Syndrome in a Young Female. J Investig Med High Impact Case Rep. 2021; 9(1):1-15. DOI: 10.1177/23247096211003263
11. Garbrecht JD, Reynolds W, Rosenthal MD. Upper Extremity Effort Thrombosis. The J Orthop Sports Phys Ther. 2020; 50(9):532. DOI: 10.2519/jospt.2020.9585
2. Mattox R, Trager RJ, Kettner NW. Effort Thrombosis in 2 Athletes Suspected of Musculoskeletal Injury. J Chiropr Med. 2019; 18(3):213-8. DOI: 10.1016/j.jcm.2019.01.004
3. Lee YS, Ng FH, Pan NY, Fai Ma JK. Paget-Schroetter syndrome in a non athlete - a case report. Radiol Case Rep. 2021; 16(11):3554-7. DOI: 10.1016/j.radcr.2021.08.020
4. Suwal A, Rijal SS, Shrestha M, Munankami S, Basnet S. Paget-Schroetter Syndrome: A Rare Case of Upper Extremity Deep Vein Thrombosis in a Young Swimmer. Cureus. 2022; 14(6):e26060. DOI: 10.7759/cureus.26060
5. Wankhade BS, ElKhouly AE, Alrais ZF, Kholi M. Paget-Schroetter syndrome: An unfamiliar cause of upper-limb deep venous thrombosis. Int J Crit Illn Inj Sci. 2022; 12(1):54-7. DOI: 10.4103/ijciis.ijciis_23_21
6. Desai J, Patel AN, Dahan S, Defour F. Atypical Presentation of Paget-Schroetter Syndrome: Case Report and Management. Cureus. 2022; 14(5):e25424. DOI: 10.7759/cureus.25424
7. Taha K, Breslin T, Moriarty JM, Ali S, Louw B. Diagnosing Paget-Schroetter Syndrome Using Point of Care Ultrasound (POCUS). POCUS J. 2022; 7(1):131-3. DOI: 10.24908/pocus.v7i1.15364
8. Gani A, Lucas G, Refson JS, El-Karim A. Paget-Schroetter syndrome in a young fitness enthusiast with a negative D-dimer: highlighting the balance between clinical suspicion and diagnostic modalities. BMJ Case Rep. 2021;14(2): e240165. DOI: 10.1136/bcr-2020-240165
9. Tanabe H, Miyamori D, Shigenobu Y, Ito Y, Kametani T, Kakimoto M, et al. Two Patients with Paget-Schroetter Syndrome That Were Successfully Diagnosed by Doppler Ultrasonography: Case Studies with a Literature Review. Intern Med. 2020; 59(20):2623-7. DOI: 10.2169/internalmedicine.4349-20
10. Sangani V, Pokal M, Balla M, Gayam V, Konala VM. Paget-Schroetter Syndrome in a Young Female. J Investig Med High Impact Case Rep. 2021; 9(1):1-15. DOI: 10.1177/23247096211003263
11. Garbrecht JD, Reynolds W, Rosenthal MD. Upper Extremity Effort Thrombosis. The J Orthop Sports Phys Ther. 2020; 50(9):532. DOI: 10.2519/jospt.2020.9585
Published
2023-11-15
How to Cite
1.
Vega Jiménez J, Gonzalez Gonzalez L, Vega Candelario R. Report of a clinical case with Paget-Schroetter Syndrome. Rev Cubana Med Milit [Internet]. 2023 Nov. 15 [cited 2025 Jan. 11];52(4):e023014198. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/14198
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