• A M B Allana, L L S Teo, B Y S Chuah, T C Liu, and W K Cheah.
• Dow University of Health Sciences, Baba-E-Urdu Road, PO Box #942943, Karachi 74200, Pakistan.
• Singap Med J. 2011 Mar 1;52(3):e37-9.

AbstractEffort thrombosis of the upper extremity is secondary to thrombosis of the axillary and/or subclavian veins that develop from heavy arm exertion. This case illustrates venous thrombosis of the right brachiocephalic vein in a 32-year-old man who presented with a cyst-like swelling in the right neck with no associated pain or trauma. Our patient, a trained athlete, was preparing for a triathlon at the time of presentation. He was treated by first-line therapy of subcutaneous and oral anti-coagulation medication. In this study, we highlight the importance of early investigation and treatment of symptomatic athletes so that long-term disability can be prevented. This study also shows the timely use of computed tomography imaging, which can help to identify the syndrome in previously undiagnosed patients.

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