Anasarca sparing one limb
Arunkumar R. Pande, Ramesh Aggarwal, Amit G. Kumar
Chylous ascites, Paget-Schroetter syndrome, upper extremity deep vein thrombosis
Citation Information :
Pande AR, Aggarwal R, Kumar AG. Anasarca sparing one limb. Indian J Crit Care Med 2011; 15 (2):114-116.
CC BY-ND 3.0
Copyright © 2011; The Author(s).
Upper extremity deep vein thrombosis commonly refers to thrombosis of the axillary and/or subclavian veins. This condition may lead to some serious complications like pulmonary embolism if the diagnosis and treatment are delayed. We introduce here one such case where the diagnosis of this rare condition was difficult because of the atypical clinical manifestation but the chylous ascites provided a valuable clue which led to early diagnosis and treatment of this patient.
Prandoni P, Polistena P, Bernardi E, Cogo A, Casara D, Verlato F, et al. Upper-extremity deep vein thrombosis. Risk factors, diagnosis, and complications. Arch Intern Med 1997;157:57-62.
Becker DM, Philbrick JT, Walker FB 4th. Axillary and subclavian venous thrombosis: Prognosis and treatment. Arch Intern Med 1991;151:1934-43.
Lindblad B, Tengborn L, Bergqvist D. Deep vein thrombosis of the axillary-subclavian veins: Epidemiologic data, effects of different types of treatment and late sequelae. Eur J Vasc Surg 1988;2:161-5.
Snead D, Marberry KM, Rowdon G. Unique treatment regimen for effort thrombosis in the nondominant extremity of an overhead athlete. J Athl Train 2009;44:94-7
Martinelli I, Battaglioli T, Bucciarelli P, Passamonti SM, Mannucci PM. Risk factors and recurrence rate of primary deep vein thrombosis of the upper extremities. Circulation 2004;110:566-70.
Liang X, Liu X, Lu X, Yang M. The causes of chylous ascites: A report of 22 cases. Zhonghua Nei Ke Za Zhi 1999;38:530-2.
Alfred Blalock CS, Robinson RS, Cunningham Mary EG. Experimental studies on lymphatic blockage. Arch Surg 1937;34:1049-71.
Baram D, Richman P. Evaluation of Chylothorax and Chylous Ascites. J Bronchol 2005;12:153-5.
Moore KL, Dalley AF 2nd. Introduction to clinically oriented anatomy. In: Sun B, Scogna KH, Glazer J, Odyniec C, editors. Clinically oriented anatomy. 5 th ed. Newyork: Lippincott Williams and Wilkins; 2006.