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Case Report
Effort thrombosis: Paget–Schroetter syndrome in a 19-year-old female
1 Senior Associate Consultant, Hospital Internal Medicine Department, Mayo Clinic Health System, Eau Claire, Wisconsin, USA
2 Division of Immunology, Rheumatology Department, University of Iowa Hospitals and Clinics, Iowa, USA
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Omobolanle Adetimehin
Adetimehin, MD, Hospital Internal Medicine Department, Mayo Clinic Health System, 1221 Whipple St, Eau Claire, WI 54703,
USA
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Article ID: 101514Z01OA2025
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Adetimehin O, Oke I. Effort thrombosis: Paget– Schroetter syndrome in a 19-year-old female. Int J Case Rep Images 2025;16(2):10–13.ABSTRACT
Paget–Schroetter syndrome (PSS) is a form of effort thrombosis seen in young athletes and individuals with occupations involving repetitive upper limb movement. Arm swelling, distended veins, skin discoloration, and pain are characteristics of it. Diagnosis can be made with non-invasive investigations, such as Doppler ultrasound; however, a computed tomography venogram, magnetic resonance venogram, or traditional venogram may be required. Treatment involves anticoagulation, thrombolysis, and surgical decompression with removal of the first rib, and this is usually met with good outcomes. We present a young female diagnosed with PSS and requiring a staged multidisciplinary approach to treatment.
Keywords: Effort thrombosis, Paget–Schroetter syndrome, Venous thrombosis
SUPPORTING INFORMATION
Author Contributions
Omobolanle Adetimehin - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ibiyemi Oke - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Omobolanle Adetimehin et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
