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Case Reports in MedicineVolume 2014 2014, Article ID 758010, 3 pages

Case ReportDepartment of Internal Medicine, Saint Joseph Hospital, Chicago, IL 60657, USA

Received 10 March 2014; Revised 7 June 2014; Accepted 8 June 2014; Published 22 July 2014

Academic Editor: Hisao Ogawa

Copyright © 2014 Hadoun Jabri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Recurrent deep venous thrombosis, involving bilateral upper extremities, is an extremely rare phenomenon. We are presenting a 43-year-old man who was diagnosed with left upper extremity deep vein thrombosis UEDVT and was treated with anticoagulation and surgical decompression in 2004. 9 years later, he presented with right arm swelling and was diagnosed with right UEDVT using US venous Doppler. Venogram showed compression of the subclavian vein by the first rib, diagnosing thoracic outlet syndrome TOS. He was treated with anticoagulation and local venolysis and later by surgical decompression of the subclavian vein. Bilateral UEDVT, as mentioned above, is an extremely rare condition that is uncommonly caused by TOS. To our knowledge, we are reporting the first case of bilateral UEDVT due to TOS. Diagnosis usually starts with US venous Doppler to detect the thrombosis, followed by the gold standard venogram to locate the area of obstruction and lyse the thrombus if needed. The ultimate treatment for TOS remains surgical decompression of the vascular bundle at the thoracic outlet.

Autor: Hadoun Jabri, Sarbajit Mukherjee, Devang Sanghavi, and Shyam Chalise



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