Case report, case study

https://doi.org/10.21860/medflum2024_316224

Paget-Schroetter Syndrome Following Strenuous Workout - a Case Report

Borna Rupčić orcid.org/0009-0002-4417-0784 ; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska *
Ana Đuran ; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Bruno Bičanić ; Sveučilište u Zagrebu, Medicinski fakultet, Zagreb, Hrvatska
Vesna Par-Judaš ; Ordinacija obiteljske medicine Vesna Par-Judaš, Zagreb, Hrvatska

* Corresponding author.

Abstract

Aim: To present the case of a patient who was diagnosed with Paget-Schroetter syndrome, which occurred after intense exercise, but with initially milder symptoms, which gradually increased in their intensity, along with the presentation of diagnostics and therapy that led to the patient's complete recovery. Case report: A 24-year-old male presented to the family medicine office after noticing a livid discoloration of the skin alongside his right upper arm and experiencing a dull pain in the shoulder area. He reported lifting weights in the gym nine days prior. Physical examination findings included a livid discoloration of the skin alongside right upper arm, and an increased venous pattern alongside shoulder area. The rest of the physical examination was normal. A week later, the patient was hospitalized in University Hospital Centre Zagreb. Full laboratory work-up was done, and the results were within a normal range. Chest X-ray and heart ultrasound were performed, showing no signs of pathology. Compression ultrasound (CUS) of subclavian vein visualized a blood clot causing an occlusion, and the patient was diagnosed with Paget-Schroetter syndrome (PSS) that occurred because of previous strenuous upper body exercise. Anticoagulatory low-molecular-weight heparin (LMWH) therapy was administered. The patient responded well to the therapy and two days later, he was discharged in a stable condition and rivaroxaban therapy was prescribed. Conclusion: Although PSS is a rare cause of spontaneous unilateral upper extremity deep vein thrombosis, it should be considered in patients who present with pain, discoloration or increased venous pattern alongside upper extremity, axillary or shoulder area, especially if they report a strenuous physical activity prior to symptoms presenting.

Keywords

Exercise; Subclavian Vein; Upper Extremity Deep Vein Thrombosis

Hrčak ID:

316224

URI

https://hrcak.srce.hr/316224

Publication date:

1.6.2024.

Article data in other languages: croatian

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