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Case Report  |   January 2020
Arm Pain and Swelling in a College Swimmer: A Case of Paget-Schroetter Syndrome
Author Notes
  • From Geisinger Medical Center in Danville, Pennsylvania. Dr Reed is a third-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Richard Davis, DO, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822-2101. Email: rdavis1@geisinger.edu
     
Article Information
Cardiovascular Disorders / Emergency Medicine / Neuromusculoskeletal Disorders
Case Report   |   January 2020
Arm Pain and Swelling in a College Swimmer: A Case of Paget-Schroetter Syndrome
The Journal of the American Osteopathic Association Published Online First on January 13, 2020. doi:https://doi.org/10.7556/jaoa.2020.022
The Journal of the American Osteopathic Association Published Online First on January 13, 2020. doi:https://doi.org/10.7556/jaoa.2020.022
Abstract

A 20-year-old male swimmer presented to the emergency department with right arm pain and swelling several days after a weight training session following swim team practice. The initial diagnosis was muscle strain, and the patient was discharged. The next day, he was evaluated by his swim team physician, who ordered right upper extremity duplex ultrasonographic imaging, which revealed no flow and thrombosis in the subclavian and axillary veins, and Paget-Schroetter syndrome was diagnosed. He subsequently had a mechanical thrombectomy and catheter-directed thrombolysis was initiated with placement of a lytic catheter for continuous infusion of tissue type plasminogen activator.

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