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

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

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)180-182
Number of pages3
JournalTzu Chi Medical Journal
Issue number3
Publication statusPublished - 01-07-2017

All Science Journal Classification (ASJC) codes

  • General Medicine


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