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

Devasia, Tom and Rao, Yeshwanth Karkal and Mohapatra, Aswini Kumar (2017) A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome. Tzu Chi Medical Journal, 29 (3). pp. 180-182. ISSN 1016-3190

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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.

Item Type: Article
Uncontrolled Keywords: Lymphadenopathy; middle lobe syndrome; upper extremity deep vein thrombosis.
Subjects: Medicine > KMC Manipal > Cardiology
Medicine > MMMC Manipal > Pharmacology
Medicine > KMC Manipal > Pulmonary Medicine
Depositing User: KMC Library
Date Deposited: 18 Sep 2017 11:04
Last Modified: 18 Sep 2017 11:04
URI: http://eprints.manipal.edu/id/eprint/149704

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