Acute Axillary/Subclavian Vein Thrombosis

  • Torbjørn Dahl
  • Hans O. Myhre
  • Jarlis Wesche

Case Report

A 34-year-old male motor mechanic was admitted with a 3-day history of severe swelling of the right arm. He had been undertaking physical activity, including weightlifting, training for about 1.5 h four times a week. There was no history of trauma. The patient felt discomfort, but no severe pain in the arm. The superficial veins were distended. The color of the hand and forearm was slightly cyanotic. The pulses in the radial and ulnar arteries were palpable. No bruits could be heard along the brachial, supraclavicular or axillary arteries. The rest of the examination was without remarks. The patient did not use any medication.

Question 1

What further diagnostic investigations would you prefer in this patient?
  1. A.


  2. B.


  3. C.

    Duplex scanning

  4. D.

    Magnetic resonance phlebography

  5. E.

    Computed tomography (CT) scanning

  6. F.

    X-ray of the chest and thoracic outlet

  7. G.

    Venous pressure measurements

Venography revealed a thrombosis of the...


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgerySt. Olavs Hospital, University Hospital of TrondheimTrondheimNorway
  2. 2.Department of SurgeryAkershus University Hospital, University of OsloLørenskogNorway

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