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Occup Med (Lond). 2015 Jun;65(4):337-9. doi: 10.1093/occmed/kqu212. Epub 2015 Mar 1.

Upper extremity deep vein thrombosis in a TV cameraman.

Author information

1
Medical Research Institute of New Zealand, Wellington 6021, New Zealand, Capital and Coast District Health Board, Respiratory Medicine, Wellington 6021, New Zealand, Richard.Beasley@mrinz.ac.nz.
2
Medical Research Institute of New Zealand, Wellington 6021, New Zealand.
3
Capital and Coast District Health Board, Vascular Surgery, Wellington 6021, New Zealand.

Abstract

We report the case of a 40-year-old right-handed man who developed a right subclavian vein thrombosis due to work as a TV cameraman. He presented with a sudden onset of marked swelling and blue discolouration of his right arm 3 weeks after the most strenuous and prolonged episode of TV camera work that he had ever undertaken. This involved carrying a 9kg camera on his shoulder, with his right arm flexed and abducted, for a 60min period with provocation of severe pain and marked discomfort persisting during the subsequent 3 weeks before presentation. A clinical diagnosis of upper extremity deep vein thrombosis (UEDVT) was made, with the diagnosis confirmed by ultrasound. He was treated with catheter-induced thrombolysis and a 3 month course of anticoagulation. He was advised that his UEDVT was caused by his occupation and that he should no longer work as a cameraman. This case shows the importance of identifying any occupational cause of UEDVT.

KEYWORDS:

Paget-Schroetter syndrome; TV cameraman; subclavian vein thrombosis; upper extremity deep vein thrombosis.

PMID:
25733529
DOI:
10.1093/occmed/kqu212
[Indexed for MEDLINE]

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