A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Sathish Babu; Tom Devasia; Yeshwanth Rao Karkal; Ashwini Mohapatra

doi:10.4103/tcmj.tcmj_14_17

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CASE REPORT

Year : 2017 | Volume : 29 | Issue : 3 | Page : 180-182

A case of upper left extremity deep vein thrombosis with right side middle lobe syndrome

Sathish Babu¹, Tom Devasia², Yeshwanth Rao Karkal³, Ashwini Mohapatra⁴
¹ Department of Radiology, Consultant Radiologist, Manipal Hospital, Vijayawada, Andhra Pradesh, India
² Department of Cardiology, Kasturba Hospital, Manipal University, Manipal, Karnataka, India
³ Department of Pharmacology, Melaka Manipal Medical College, Manipal University, Manipal, Karnataka, India
⁴ Department of Chest Medicine, Kasturba Hospital, Manipal University, Manipal, Karnataka, India

Correspondence Address:
Yeshwanth Rao Karkal
Department of Pharmacology, Melaka Manipal Medical College, Manipal University, Manipal - 576 104, Karnataka
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tcmj.tcmj_14_17

Upper extremity deep vein thrombosis is an extremely important clinical entity with potential for considerable morbidity and mortality. A 64-year-old woman was brought to the emergency department with complaints of left upper limb and neck swelling for 4 days. Ultrasonography of the neck showed thrombosis of the left internal jugular and other surrounding veins associated with local lymphadenopathy. Computed tomography (CT) of the neck also showed a hypodense 0.6 cm × 0.8 cm × 1.2 cm lesion in the right middle lobe bronchus, causing complete occlusion and collapse of the right middle lobe of the lung. Fine-needle aspiration cytology and a lymph node biopsy showed nongranulomatous lymphadenitis. The patient was started on fondaparinux 10 mg subcutaneously once daily. She was discharged on oral anticoagulants for 6 months. Repeat CT scan after 6 months showed dissolution of the lesion and reexpansion of the right lung.

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