Subclavian Venous Thrombosis in Healthy Man: A Case Report

• Published in: Orthopedics & Traumatology Vol. 61; no. 4; pp. 700 - 703
• Main Authors: Numata, Kosuke, Yazawa, Katsunori, Miyazaki, Makoto, Yamauchi, Tatsuro, Inoue, Tetsuji, Fukuda, Kazuaki, Nakashima, Saburo
• Format: Journal Article
• Language: Japanese
• Published: West-Japanese Society of Orthopedics & Traumatology 2012
• Subjects: subclavian vein; upper-limb deep venous thrombosis
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.61.700

A 62-year-old man complained of swelling of the left upper limb and left shoulder pain without obvious causes. After clinical observation for four days, swelling became worse and he visited our hospital again. In physical examination, swelling of the left upper limb was seen. D-dimer rose slightly in laboratory data. Venous ultrasound examination showed venous thrombosis the in left subclavian vein and left internal jugular vein. He was hospitalized and started on anti-coagulation therapy. Three weeks after the start of treatment, he was discharged due to diminished D-dimer. After three months, thrombosis diminished in venous ultrasound examination, and anticoagulation was discontinued. Subclavian deep venous thrombosis is a very serious disease which causes upper limb swelling, and early stage treatment is needed to prevent serious complications.