Paget-Schroetter syndrome | 43887
Emergency Medicine: Open Access

Emergency Medicine: Open Access
Open Access

ISSN: 2165-7548

+44 1223 790975

Paget-Schroetter syndrome

International Conference on Emergency and Acute Care Medicine

August 22-23, 2018 Tokyo, Japan

Nauman Babar

Queen Elizabeth Hospital Birmingham, UK

Posters & Accepted Abstracts: Emerg Med

Abstract :

Introduction: PSS refers to effort induced thrombosis of the axillary and subclavian veins due to repetitive strenuous activity of upper limbs. It accounts for 30-40% of spontaneous axillary-subclavian vein thrombosis and 10-20% of all upper limb DVTs. Its management differs greatly from all other causes of upper limb DVT and is primarily surgical. Case Report: We report on a 42-year-old cabbie who presented to A&E with left arm swelling and erythema. He had been occupied for the past 2 weeks manually fixing his taxi and was otherwise healthy. Patient was initially diagnosed and managed as cellulitis and discharged. However, he presented again in a five day with worsening symptoms. Doppler Ultrasound scans revealed a basilic vein thrombus. CT thorax and MR Venography of the head demonstrated a left sided axillary, subclavian and brachiocephalic vein thrombus extending up to the left internal jugular vein into the sigmoid sinus. Patient had no risk factors of deep vein thrombosis and a negative thrombophilia screen. After vascular surgery, radiology and hematology input, he was discharged with lifelong anticoagulation and hematology follow up. We propose that this gentleman may have had a diagnosis of Paget-Schroetter syndrome and aim to highlight the importance of appropriate investigations for such patients to avoid long term complications of post thrombotic syndrome. Recommendation: It is important to differentiate effort thrombosis from cellulitis in acute settings. American College of Chest Physicians guidelines should be considered while deciding the management plan for patients with UEDVT.

Biography :

Nauman Babar has graduated from the prestigious institute of Khyber Medical College Peshawar. Currently he is working as a Core Medical Trainee in Queen Elizabeth Hospital Birmingham, United Kingdom.