Key result
Spontaneous subclavian vein thrombosis from adherent ribs presents as pulmonary embolism in a young man.
Case Report (n=1)
Highlights the importance of considering upper-extremity deep venous thrombosis as a source of pulmonary embolism in young healthy individuals presenting with pleural effusion.
May raise suspicion for upper-extremity DVT in unexplained PE with effusion; leaves open need for prospective validation before practice change.
Introduction: Spontaneous upper-extremity deep venous thrombosis is associated with exercise, occurs in young healthy individuals and can be source of pulmonary embolism. Case Report: This case illustrates a 26-year-old Caucasian, left-handed, healthy man with overlooked subclavian vein thrombosis, which was source of pulmonary embolism. Pulmonary embolism manifested with pleural effusion and at the beginning was treated as tuberculous pleuritis. Conclusion: In this case, pulmonary embolism manifested with repeating chest pain due to pleural effusion. Source of embolus was an overlooked left subclavian vein thrombosis. Underlying anatomical abnormalities in this case was adherent first and second ribs, causing compression of the subclavian vein. Incorrect diagnosis at the beginning was the cause of delayed treatment.
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Belicová et al. (2012) conducted a case report in Spontaneous subclavian vein thrombosis and pulmonary embolism (n=1). Spontaneous subclavian vein thrombosis was evaluated. Spontaneous subclavian vein thrombosis due to adherent first and second ribs caused pulmonary embolism manifesting with pleural effusion in a 26-year-old man.
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