Paget-Schroetter syndrome
| Autor: | Mark Mujer, Manoj P Rai, Ahmad Alratroot, Ardy Fenando |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Images In… medicine.medical_treatment Venography Physical examination 030204 cardiovascular system & hematology Upper Extremity 03 medical and health sciences Young Adult 0302 clinical medicine Musculoskeletal Pain Upper Extremity Deep Vein Thrombosis medicine Factor V Leiden Humans Thrombus Neck pain Neck Pain medicine.diagnostic_test business.industry Complete blood count General Medicine Thrombolysis medicine.disease Surgery 030228 respiratory system Angiography Female medicine.symptom business |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | A 21-year-old woman presented to the hospital for right lower neck pain. The patient reported that the pain started after she attempted to stretch backward. In addition, she complained of pain and swelling over her right upper arm which started a day after the neck pain started. On admission, vitals were within normal limits. Physical examination was positive for erythema, swelling and tenderness in the upper right arm and right subclavicular region. CT angiography of the neck and CT of the cervical spine were unremarkable. Complete blood count and a complete metabolic panel were within normal range. Ultrasound venous of the right upper extremity showed a large echogenic thrombus of the right subclavian vein (figure 1). Given the above findings, further detailed history was obtained. The patient denied a family history of coagulation disorder. However, she admitted to being on oral contraceptive pills. Coagulation studies showed a normal protein S activity along with a negative factor V Leiden, anticardiolipin and prothrombin G20210A mutation. Antithrombin III level was slightly lower. The patient was subsequently placed on a heparin infusion and was scheduled to undergo thrombolysis. Venography performed before … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|