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Case Report
Online Published: 08 Jan 2024
 


Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome

Faisal Saeed Alqahtani, Ahmed Alghamdi, Abdullah Omar Bawazeer, Ahmad Alrefaai, Sulaiman Abdulwahab Aljabari, Dunya Alfaraj.


Abstract
Background:
Page-Schroetter Syndrome (PSS) is a rare variant of thoracic outlet syndrome which requires early intervention to prevent formation of deep vein thrombosis in the upper limbs. Development of PSS depends on risk factors such as young-aged athletes, typically of male sex, who exercises using repetitive arm movements such as swimming, muscle building exercises, and handball, aggravating microtrauma to venous intima leading to activation of coagulation cascade.
Case Presentation:
A case of 33-year-old Saudi male was presented to the emergency department on an acute onset of right arm swelling, redness, and pain. Following calisthenics exercises where he was doing push-ups on an open door. The patient was hemodynamically stable, negative for signs and symptoms of pulmonary embolism, and he denied any history of thrombus-forming events. The patient was diagnosed with PSS after detecting filling defect on Doppler ultrasound, and severe stenosis of the right subclavian vein on venogram. The patient was treated accordingly and was discharged on long-term oral direct anticoagulants.
Conclusion:
PSS is easily missed due to scarce number of reported cases, and unfamiliarity from the medical personnel with the approach to detect and treat upper limb deep vein thrombosis.

Key words: Subclavian deep vein thrombosis, anticoagulation, Paget-Schroetter syndrome, catheter-directed thrombolysis, thoracic outlet.


 
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How to Cite this Article
Pubmed Style

Alqahtani FS, Alghamdi A, Bawazeer AO, Alrefaai A, Aljabari SA, Alfaraj D. Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. IJMDC. 2024; 8(2): 947-950. doi:10.24911/IJMDC.51-1704474371

Web Style

Alqahtani FS, Alghamdi A, Bawazeer AO, Alrefaai A, Aljabari SA, Alfaraj D. Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. https://www.ijmdc.com/?mno=184077 [Access: June 27, 2026]. doi:10.24911/IJMDC.51-1704474371

AMA (American Medical Association) Style

Alqahtani FS, Alghamdi A, Bawazeer AO, Alrefaai A, Aljabari SA, Alfaraj D. Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. IJMDC. 2024; 8(2): 947-950. doi:10.24911/IJMDC.51-1704474371


Vancouver/ICMJE Style

Alqahtani FS, Alghamdi A, Bawazeer AO, Alrefaai A, Aljabari SA, Alfaraj D. Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. IJMDC. (2024), [cited June 27, 2026]; 8(2): 947-950. doi:10.24911/IJMDC.51-1704474371


Harvard Style

Alqahtani, F. S., Alghamdi, . A., Bawazeer, . A. O., Alrefaai, . A., Aljabari, . S. A. & Alfaraj, . D. (2024) Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. IJMDC, 8 (2), 947-950. doi:10.24911/IJMDC.51-1704474371


Turabian Style

Alqahtani, Faisal Saeed, Ahmed Alghamdi, Abdullah Omar Bawazeer, Ahmad Alrefaai, Sulaiman Abdulwahab Aljabari, and Dunya Alfaraj. 2024. Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. International Journal of Medicine in Developing Countries, 8 (2), 947-950. doi:10.24911/IJMDC.51-1704474371


Chicago Style

Alqahtani, Faisal Saeed, Ahmed Alghamdi, Abdullah Omar Bawazeer, Ahmad Alrefaai, Sulaiman Abdulwahab Aljabari, and Dunya Alfaraj. "Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome." International Journal of Medicine in Developing Countries 8 (2024), 947-950. doi:10.24911/IJMDC.51-1704474371


MLA (The Modern Language Association) Style

Alqahtani, Faisal Saeed, Ahmed Alghamdi, Abdullah Omar Bawazeer, Ahmad Alrefaai, Sulaiman Abdulwahab Aljabari, and Dunya Alfaraj. "Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome." International Journal of Medicine in Developing Countries 8.2 (2024), 947-950. Print. doi:10.24911/IJMDC.51-1704474371


APA (American Psychological Association) Style

Alqahtani, F. S., Alghamdi, . A., Bawazeer, . A. O., Alrefaai, . A., Aljabari, . S. A. & Alfaraj, . D. (2024) Unraveling effort thrombosis: a comprehensive case report on page-schroetter syndrome. International Journal of Medicine in Developing Countries, 8 (2), 947-950. doi:10.24911/IJMDC.51-1704474371




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