Acute pulmonary embolism due to right basilic vein thrombosis

Swetha Chenna; Venu Chippa

doi:10.1136/bcr-2021-244280

Acute pulmonary embolism due to right basilic vein thrombosis

BMJ Case Rep. 2021 Aug 11;14(8):e244280. doi: 10.1136/bcr-2021-244280.

Authors

Swetha Chenna¹, Venu Chippa²

Affiliations

¹ Internal Medicine, Ascension Indiana, Evansville, Indiana, USA.
² Internal Medicine, Ascension Indiana, Evansville, Indiana, USA cvmadhav1958@gmail.com.

Abstract

A 40-year-old African-American woman presented to the emergency room (ER) with right upper extremity pain for 3 hours after sleeping overnight on that side. She was diagnosed with basilic vein thrombosis; in the ER, she was tachycardic with minimal ambulation, prompting CT pulmonary angiogram, which confirmed right-sided pulmonary embolism. Bilateral upper and lower extremity venous Dopplers did not show any acute deep venous thrombosis. She received appropriate anticoagulation. Risk factors are a smoker and recently started contraceptive pills.

Keywords: contraception; gynaecology and fertility; obstetrics; smoking and tobacco; venous thromboembolism.

Publication types

Case Reports

MeSH terms

Adult
Axillary Vein
Female
Humans
Pulmonary Embolism* / diagnostic imaging
Pulmonary Embolism* / drug therapy
Pulmonary Embolism* / etiology
Thrombosis*
Venous Thrombosis* / diagnostic imaging
Venous Thrombosis* / drug therapy
Venous Thrombosis* / etiology