Effort Thrombosis Presenting as Unilateral 'Pumped' Arm in a Climber
| Autor: | Paul J. Rochon, Abigail Melher, Martin E. Musi, Alexander Bromfield, Christopher Davis |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry medicine.medical_treatment Population Public Health Environmental and Occupational Health Thrombolysis Balloon medicine.disease Surgery Catheter Angioplasty Emergency Medicine medicine Differential diagnosis business education Subclavian vein Thoracic outlet syndrome |
| Zdroj: | Wilderness & Environmental Medicine. 31:344-349 |
| ISSN: | 1080-6032 |
| DOI: | 10.1016/j.wem.2020.05.001 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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