TITLE:
Deep Vein Thrombosis of the Upper Limb: About 6 Cases Collected in Dakar
AUTHORS:
Mouhamadou Bamba Ndiaye, Fatou Aw, Marguerite Téning Diouf, Joseph Salvador Mingou, Simon Antoine Sarr, Malick Bodiian, Aliou Alassane Ngaidé, Alassane Mbaye, Adama Kane, Maboury Diao, Abdoul Kane
KEYWORDS:
Deep Vein Thrombosis, Upper Limb, Dakar
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.10 No.2,
February
19,
2020
ABSTRACT: Deep vein thrombosis of the upper limb is a rare location of venous thromboembolic disease. Data on this form of thrombosis are limited. We report six cases collected in Dakar. The sex ratio was 0.5 and the average age was 27.6 years with extremes of 17 and 39. Painful limb edema was the most constant sign and involved the non-dominant limb in almost all patients. Thrombosis occurred in a field of peripartum cardiomyopathy in two patients and SS sickle cell disease in one patient taking oral contraception. There was neither cancer nor venous catheter in medical history. The diagnosis was made by venous Doppler ultrasound in all patients. Subclavian involvement was the most common. The thrombophilia assessment, done for two patients, was normal. It was about exertion thrombosis on three (3) patients. All the patients had received antivitamin K treatment relaying a low molecular weight heparin. Venous limb compression was associated with anticoagulation for all patients. The treatment duration was six (6) months. There were no reports of pulmonary embolism or death. One patient presented a post-thrombotic syndrome.