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Case Reports
. 2017;56(13):1739-1743.
doi: 10.2169/internalmedicine.56.7887. Epub 2017 Jul 1.

Upper-extremity Deep Vein Thrombosis Complicating Apheresis in a Healthy Donor

Affiliations
Case Reports

Upper-extremity Deep Vein Thrombosis Complicating Apheresis in a Healthy Donor

Yuichiro Haba et al. Intern Med. 2017.

Abstract

Venous thrombus was recognized in the upper extremity of a 53-year-old man after blood donation. The patient presented with a 15-day history of swelling in the left upper-extremity that started 6 hours after apheresis. Contrast-enhanced computed tomography revealed clots in the deep veins of the left arm and the peripheral pulmonary artery. Blood donation had proceeded smoothly, and the patient had no thrombotic predisposition, except for a smoking habit. The thrombus resolved following anticoagulant therapy, and the patient' s clinical course was uncomplicated. Despite a thorough investigation, the cause of this thrombus remains unknown.

Keywords: blood donation; hypercoagulability; upper-extremity deep vein thrombosis (UEDVT).

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Figures

Figure 1.
Figure 1.
Appearance on the next day of admission. The patient’s entire left arm was swollen, and engorgement of the superficial veins on the left precordium was evident.
Figure 2.
Figure 2.
Findings in contrast-enhanced computed tomography at the initial visit. A large clot extending from the left subclavian vein to the brachial vein, and a small clot in the left pulmonary artery.

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