Effort Thrombosis Presenting as Unilateral "Pumped" Arm in a Climber.

Autor: Musi ME; Emergency Department, University of Colorado, Aurora, CO. Electronic address: martin.musi@cuanschutz.edu., Melher A; Emergency and Internal Medicine Department, University of Colorado, Aurora, CO., Bromfield A; Emergency Department, Saint Anthony Hospital of Colorado, Aurora, CO., Rochon PJ; Division of Vascular and Interventional Radiology, University of Colorado, Aurora, CO., Davis CB; Emergency Department, University of Colorado, Aurora, CO.
Jazyk: angličtina
Zdroj: Wilderness & environmental medicine [Wilderness Environ Med] 2020 Sep; Vol. 31 (3), pp. 344-349. Date of Electronic Publication: 2020 Aug 06.
DOI: 10.1016/j.wem.2020.05.001
Abstrakt: Upper extremity injuries are common among the growing population of climbers. Although conditions affecting musculoskeletal structures are the most common causes of symptoms, a comprehensive differential diagnosis is necessary to avoid the misdiagnosis of high-morbidity conditions in this patient population. We present a case of a climber with acute edema, erythema, and pain of the entire right upper extremity. After confirmation of an upper extremity deep vein thrombosis by ultrasound, and in the absence of secondary causes for his thrombotic process, he was diagnosed with effort thrombosis. The patient was treated acutely with anticoagulation, catheter thrombectomy, direct thrombolysis, and balloon angioplasty followed by surgical decompression of the subclavian vein. Owing to the importance of early diagnosis and initiation of treatment, it is critical to keep disorders affecting the upper thoracic vascular structures in consideration.
(Copyright © 2020. Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: