ArticleAcute medicine & surgery
Incidental Detection of Asymptomatic Upper Extremity Deep Vein Thrombosis in an Elderly Patient With Pulmonary Embolism.
Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Incidental Detection of Asymptomatic Upper Extremity Deep Vein Thrombosis in an Elderly Patient With Pulmonary Embolism.Acute medicine & surgeryArticle
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Authors and funding
9 authors.
Funding
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Abstract
Background: Upper extremity deep vein thrombosis (UEDVT) is rare, accounting for 4%-10% of all DVT cases. Central venous catheterization and malignancy are primary risk factors, making cases without these factors uncommon. Case Presentation: A 76-year-old woman with hypertension was admitted with sepsis. She had no history of central venous catheterization. Contrast-enhanced CT revealed asymptomatic UEDVT in the left subclavian and brachiocephalic veins, lower extremity DVT, and bilateral pulmonary embolism. D-dimer was elevated. Tests showed elevated homocysteine; other thrombophilic screening was negative. No malignancy was detected. Heparin followed by edoxaban achieved complete resolution on follow-up imaging. Conclusions: In elderly patients with elevated D-dimer and multiple DVT risk factors, particularly with sepsis or limited cardiopulmonary reserve, upper extremity imaging may be warranted even without UEDVT-specific symptoms. Asymptomatic UEDVT may have clinical implications for management.
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