Acute Superficial Vein Thrombosis of the Upper Extremity: A Case Report. Issue 12 (December 2020)

• Record Type: Journal Article
• Authors: Kwiecien, Grzegorz J.; Coombs, Demetrius M.; Sinclair, Nicholas; Gastman, Brian R.; Bassiri Gharb, Bahar; Rampazzo, Antonio
• Is Part Of: Plastic and reconstructive surgery. Volume 8:Issue 12(2020)
• Publication Date: 2020-12
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000003322
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Summary: Superficial vein thrombosis has traditionally been considered a disease of the lower extremity. Less frequently it can affect the breast, chest wall, penis, or upper extremity. Cases involving upper extremities are usually associated with intravascular access, and the vast majority remain self-limiting. This case report presents a 63-year-old patient who had acute extensive thrombosis of cephalic and basilic venous systems following resection of a desmoid tumor from the flank. This was likely related to intraoperative positioning and resulted in severe symptoms mimicking deep vein thrombosis and carpal tunnel syndrome. Additionally, diagnostic tools available to the hand surgeon that allow prompt diagnosis, management, and prevention are discussed.