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A Case of Upper Extremity Deep Vein Thrombosis and Pulmonary Thromboembolism in a Severely Obese Man

고도비만 남성에서 발생한 상지 심부정맥혈전증과 폐동맥색전증

  • Jung, Hyun Yon (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Han, Arum (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Hee Jun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Park, Jae Hyun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Sun Woo (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Hee Jun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Lee, Namho (Department of Internal Medicine, Hallym University College of Medicine)
  • 정현연 (한림대학교 의과대학 내과학교실) ;
  • 한아름 (한림대학교 의과대학 내과학교실) ;
  • 김희준 (한림대학교 의과대학 내과학교실) ;
  • 박재현 (한림대학교 의과대학 내과학교실) ;
  • 김선우 (한림대학교 의과대학 내과학교실) ;
  • 김희준 (한림대학교 의과대학 내과학교실) ;
  • 이남호 (한림대학교 의과대학 내과학교실)
  • Received : 2012.11.26
  • Accepted : 2013.06.21
  • Published : 2014.04.01

Abstract

Deep vein thrombosis is a predisposing condition for pulmonary embolism, which can be fatal. Usually, deep vein thrombosis is found in the lower extremities, but it can also occur in the upper extremities. The prevalence of upper extremity deep vein thrombosis appears to be increasing, particularly due to the increased use of indwelling central venous catheters. Pulmonary embolism is present in up to one-third of patients with upper extremity deep vein thrombosis. Upper extremity deep vein thrombosis is an increasingly important clinical entity, with the potential for considerable morbidity. Here, we report a case of upper extremity deep vein thrombosis and pulmonary embolism in a severely obese man who was successfully treated with anticoagulants.

심부정맥혈전증은 폐동맥색전증의 주된 선행 질환이고 폐동맥색전증은 발생 시 환자에게 치명적일 수 있으므로 심부정맥혈전증의 올바른 진단과 치료는 임상적으로 매우 중요하다. 대부분의 심부정맥혈전증은 하지에서 발생하나 약 10%에서는 상지에서 발생하는 것으로 알려져 있으며 상지심부정맥혈전증은 최근 중심정맥관의 사용이 증가하고 영구심장박동기 이식이나 제세동기 삽입 등과 같은 중심정맥으로 접근하는 시술이 늘어나면서 과거보다 유병률이 증가하는 추세이다. 따라서 저자들은 고도비만 남성에서 상지 심부정맥혈전증과 폐동맥색전증이 발생한 예를 경험하였기에 보고하는 바이다.

Keywords

References

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