Primary upper extremity DVT involving non-dominant limb in an uncommon profession of occurrence

Incidence of primary upper extremity DVT (UEDVT) or effort thrombosis is increasing now a days. It is about 0.4–1 per 10,000 persons per year which accounts for 10% of all DVT Cases. We present a case of primary UEDVT in a non-dominant limb of a male person in an uncommon profession of its occurrence. A 40 years male teacher presented to our hospital with 3 months history of pain and swelling of his left upper limb. After multiple consultations he consulted us for his unresolved symptoms. Doppler study showed left subclavian and axillary vein thrombosis. Diagnosis of primary/effort UEDVT (Paget-Schroetter syndrome (PSS)) was made after all the secondary causes were ruled out and there are no bony abnormalities. Patient was started upon anti coagulants. His symptoms got subsided. Follow up scan after 6 months shows minimal residual thrombosis in paired brachial vein. As primary UEDVT occurs in young, functional adults early recognition and treatment requires high index of suspicion to prevent complications and morbidity of disease.