Paget-Schroetter Syndrome: A Rare Case of Upper Extremity Deep Vein Thrombosis in a Young Swimmer

Abstract

Paget-Schroetter syndrome (PSS) is a rare form of spontaneous upper extremity deep vein thrombosis associated with vigorous activity of the upper extremities. We present a rare case of a young swimmer who presented with a painful right upper extremity swelling, with compression ultrasound (CUS) revealing extensive venous clots in the basilic, axillary, and subclavian veins. Venous duplex revealed extrinsic compression of the subclavian vein, and catheter-based contrast venography confirmed our diagnosis of PSS. The patient was started on a therapeutic dose of subcutaneous enoxaparin and referred to a higher center for further intervention.

Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention

“…This condition has low incidence rate of 2 cases per 100,000 individuals and is more commonly diagnosed in young and healthy males, with a mean age of thirty, and a 2:1 ratio compared to females [ 4 ]. Up to 20% of all instances of deep vein thrombosis (DVT) in the upper extremities are caused by PSS [ 5 ]. Clinical presentation on the affected arm includes pain, edema, and muscle swelling, often accompanied by visible collateral circulation.…”