A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Sathish Babu, Tom Devasia, Yeshwanth Rao Karkal, Ashwini Mohapatra

Research output: Contribution to journalArticle

Abstract

Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenopathy. Computed tomography (CT) of the neck also showed a hypodense 0.6 cm × 0.8 cm × 1.2 cm lesion in the right middle lobe bronchus, causing complete occlusion and collapse of the right middle lobe of the lung. Fine-needle aspiration cytology and a lymph node biopsy showed nongranulomatous lymphadenitis. The patient was started on fondaparinux 10 mg subcutaneously once daily. She was discharged on oral anticoagulants for 6 months. Repeat CT scan after 6 months showed dissolution of the lesion and reexpansion of the right lung.

Original languageEnglish
Pages (from-to)180-182
Number of pages3
JournalTzu Chi Medical Journal
Volume29
Issue number3
DOIs
Publication statusPublished - 01-07-2017

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Middle Lobe Syndrome
Upper Extremity Deep Vein Thrombosis
Neck
Tomography
Lung
Lymphadenitis
Bronchi
Fine Needle Biopsy
Upper Extremity
Anticoagulants
Cell Biology
Hospital Emergency Service
Veins
Ultrasonography
Thrombosis
Lymph Nodes
Morbidity
Biopsy
Mortality

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenopathy. Computed tomography (CT) of the neck also showed a hypodense 0.6 cm × 0.8 cm × 1.2 cm lesion in the right middle lobe bronchus, causing complete occlusion and collapse of the right middle lobe of the lung. Fine-needle aspiration cytology and a lymph node biopsy showed nongranulomatous lymphadenitis. The patient was started on fondaparinux 10 mg subcutaneously once daily. She was discharged on oral anticoagulants for 6 months. Repeat CT scan after 6 months showed dissolution of the lesion and reexpansion of the right lung.",
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A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome. / Babu, Sathish; Devasia, Tom; Karkal, Yeshwanth Rao; Mohapatra, Ashwini.

In: Tzu Chi Medical Journal, Vol. 29, No. 3, 01.07.2017, p. 180-182.

Research output: Contribution to journalArticle

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