Bilateral Upper Extremity DVT in a 43-Year-Old Man: Is It Thoracic Outlet Syndrome?!

[thoracic outlet syndrome]

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 .

Diseases
Validation

Diseases presenting "first case" symptom

achondroplasia

adrenal incidentaloma

allergic bronchopulmonary aspergillosis

alpha-thalassemia

aniridia

aromatase deficiency

canavan disease

carcinoma of the gallbladder

child syndrome

cholangiocarcinoma

classical phenylketonuria

coats disease

cohen syndrome

congenital toxoplasmosis

cushing syndrome

cutaneous mastocytosis

dedifferentiated liposarcoma

dentin dysplasia

dracunculiasis

dystrophic epidermolysis bullosa

epidermolysis bullosa simplex

esophageal adenocarcinoma

esophageal carcinoma

fabry disease

familial mediterranean fever

focal myositis

gm1 gangliosidosis

harlequin ichthyosis

hodgkin lymphoma, classical

homocystinuria without methylmalonic aciduria

junctional epidermolysis bullosa

kabuki syndrome

krabbe disease

lamellar ichthyosis

legionellosis

liposarcoma

locked-in syndrome

malignant atrophic papulosis

monosomy 21

neonatal adrenoleukodystrophy

oculocutaneous albinism

omenn syndrome

papillon-lefèvre syndrome

pendred syndrome

pleomorphic liposarcoma

primary effusion lymphoma

primary hyperoxaluria type 1

proteus syndrome

pyomyositis

systemic capillary leak syndrome

thoracic outlet syndrome

von hippel-lindau disease

waldenström macroglobulinemia

well-differentiated liposarcoma

werner syndrome

wolf-hirschhorn syndrome

x-linked adrenoleukodystrophy

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