Clinical Practice and Cases in Emergency Medicine
A Case Report on Paget-Schroetter Syndrome Presenting as Acute Localized Rhabdomyolysis
- Author(s): Lee, Jonathan B.
- Kurzweil, Ami
- Lahham, Shadi
- et al.
Introduction: The life- or limb-threatening differential diagnosis for upper extremity swelling can include deep vein thrombosis (DVT), infectious processes, and compartment syndrome. Chronic anatomic abnormalities such as axillary vein stenosis are rarely a consideration in the emergency department.
Case Report: We present a 26-year-old female with history of Chiari type 1 malformation who presented with acute left arm swelling. Initial workup, including point-of-care ultrasound, revealed the presence of significant soft tissue swelling without evidence of DVT.
Conclusion: Further workup revealed an early, localized rhabdomyolysis secondary to axillary vein stenosis or venous thoracic outlet syndrome, also known as Paget-Schroetter syndrome.