Effort‐Induced Deep Vein Thrombosis of the Right Upper Extremity

Effort-induced upper extremity deep vein thrombosis constitutes an uncommon presentation. In this report, we discuss a case of a healthy painter with primary effort-induced deep vein thrombosis of the upper limb. Such condition occurs often among young individuals who are exposed to vigorous and repetitive movements of retroversion, hyperabduction, and extension of the arm. Following the elimination of all differential diagnoses and secondary causes of UEDVT, duplex venous ultrasound, which is noninvasive, specific, and cost-effective, is necessary for establishing the diagnosis. Management included early anticoagulation. However, catheter-directed thrombolysis (CDT) followed by first rib resection (FRR) is by far the most frequently performed therapeutic approach.