[Upper extremity deep venous effort thrombosis : management of the Paget-Schroetter syndrome in the emergency department]

Rev Med Liege. 2017 Oct;72(10):432-435.
[Article in French]

Abstract

We report a case of upper extremity deep venous effort thrombosis complicating a thoracic outlet syndrome in a 44-year-old patient. The appearance of this complication was sudden. A clinical examination followed by imaging with phlebography leads to a quick diagnosis. Effort thrombosis is a classic example of an entity which, if treated correctly, has minimal long-term sequelae but, if ignored, is associated with significant long-term morbidity. An appropriate medical and interventional care has been implemented as soon as possible. Once primary thrombosis is recognized, catheter-directed thrombolytic therapy is usually successful if initiated early, but often unmasks an underlying problem.

Nous rapportons le cas d’une phlébite d’effort du membre supérieur compliquant un syndrome de la traversée thoraco-brachiale chez un patient de 44 ans. L’apparition de cette complication a été brutale. Un bilan clinique et iconographique par phlébographie a permis de poser le diagnostic rapidement. C’est une affection rare qui suscite une morbidité importante si elle n’est pas traitée de façon adéquate. Une prise en charge médicale et interventionnelle appropriée a été mise en oeuvre dans les plus brefs délais. Nous envisageons les moyens de prise en charge rapide et l’intérêt essentiel de la fibrinolyse in situ en urgence.

Keywords: Emergency; Paget; Thrombolytic therapy; Schroetter Syndrome; Upper extremity deep vein thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use
  • Drug Therapy, Combination
  • Emergency Service, Hospital
  • Humans
  • Male
  • Platelet Aggregation Inhibitors / therapeutic use
  • Upper Extremity Deep Vein Thrombosis / diagnosis*
  • Upper Extremity Deep Vein Thrombosis / drug therapy

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors