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Peer-reviewedCC BY-NC-NDInternal Medicine

Paget–Schroetter Syndrome with a Pulmonary Embolism in a High School Volleyball Coach

  • Saeko Adachi
  • Sakiko Honda
  • Hiroki Fujioka
  • Takashi Hashimoto
  • Tatsuya Kawasaki
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Abstract

Paget-Schroetter syndrome is a rare upper-extremity deep vein thrombosis caused by repetitive mechanical compression of the subclavian vein. A 39-year-old male volleyball coach presented with progressive swelling of the right arm. Imaging revealed subclavian vein thrombosis and a concomitant pulmonary embolism. No thrombophilia or secondary causes were identified. Given the history of repetitive overhead activity, Paget-Schroetter syndrome was diagnosed. Anticoagulation and activity restriction resulted in symptom resolution within three weeks. This case highlights the importance of recognizing activity-related upper extremity thrombosis in otherwise healthy individuals.

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Cite

BibTeXRIS
BibTeX
@article{adachi2026pagetschroetter,
  title = {{Paget–Schroetter Syndrome with a Pulmonary Embolism in a High School Volleyball Coach}},
  author = {Saeko Adachi and Sakiko Honda and Hiroki Fujioka and Takashi Hashimoto and Tatsuya Kawasaki},
  journal = {Internal Medicine},
  year = {2026},
  month = jul,
  doi = {10.2169/internalmedicine.7757-26},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7757-26/_article},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Paget–Schroetter Syndrome with a Pulmonary Embolism in a High School Volleyball Coach
AU  - Saeko Adachi
AU  - Sakiko Honda
AU  - Hiroki Fujioka
AU  - Takashi Hashimoto
AU  - Tatsuya Kawasaki
PY  - 2026
DA  - 2026/07/11
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.7757-26
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7757-26/_article
AB  - Paget-Schroetter syndrome is a rare upper-extremity deep vein thrombosis caused by repetitive mechanical compression of the subclavian vein. A 39-year-old male volleyball coach presented with progressive swelling of the right arm. Imaging revealed subclavian vein thrombosis and a concomitant pulmonary embolism. No thrombophilia or secondary causes were identified. Given the history of repetitive overhead activity, Paget-Schroetter syndrome was diagnosed. Anticoagulation and activity restriction resulted in symptom resolution within three weeks. This case highlights the importance of recognizing activity-related upper extremity thrombosis in otherwise healthy individuals.
SN  - 1349-7235
SN  - 0918-2918
ER  -