• Ignacio Sancho-González, María Vicenta Bonilla-Hernández, David Ibañez-Muñoz, and Davinia Vicente-Campos.
• Servicio de Cirugía ortopédica y traumatología, Hospital Reina Sofía, Tudela, Navarra, Spain. Electronic address: ignaciosancho2001@yahoo.es.
• Am J Emerg Med. 2017 May 1; 35 (5): 808.e1-808.e3.

AbstractTriathlon followers increase each year and long-distance events have seen major growth worldwide. In the cycling phase, athletes must maintain an aerodynamic posture on the bike for long periods of time. We report a case of a 38-year-old triathlete with symptoms of an axillary vein thrombosis 48h after a long triathlon competition. After 3days of hospitalization with a treatment consisted on enoxaparin anticoagulant and acenocumarol, the patient was discharged with instructions to continue treatment under home hospitalization with acetaminophen. Four weeks after the process, the patient was asymptomatic and the diameter of his arm was near normality. Due to the growing popularity of events based on endurance exercise, it is necessary more research to determine the etiopathogeny of deep venous thrombosis in athletes.Copyright © 2016 Elsevier Inc. All rights reserved.

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