<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552019000300374</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis venosa de sitio inusual: síndrome de Paget-Schroetter]]></article-title>
<article-title xml:lang="en"><![CDATA[Venous thrombosis of unusual site: Paget-Schroetter syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Gil]]></surname>
<given-names><![CDATA[Jorge Carmelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bahamon-Rivera]]></surname>
<given-names><![CDATA[Hubert]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jimenez-Salazar]]></surname>
<given-names><![CDATA[Silvana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buitrago-Toro]]></surname>
<given-names><![CDATA[Kenny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baldovino-Chiquillo]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrés-Arango]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Sucre  ]]></institution>
<addr-line><![CDATA[Sincelejo ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Hernando Moncaleano Perdomo Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Surcolombiana  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,MI Dneuropsy grupo de investigación  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Tecnológica de Pereira  ]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>374</fpage>
<lpage>381</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552019000300374&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552019000300374&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552019000300374&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: la enfermedad tromboembólica venosa es una enfermedad clínica frecuente, asociada a múltiples factores de riesgo ya identificados. Existen presentaciones con localizaciones atípicas, como lo es la trombosis en miembro superior. Al ser su etiología en el 30 % de los casos la hipertrofia de músculos de la cintura escapular (síndrome de Paget-Schroetter), el cual siempre deberá ser sospechado en pacientes sanos que realicen actividades deportivas de máximo esfuerzo donde tanto el tratamiento farmacológico como quirúrgico ofrecerán una adecuada alternativa terapéutica.  Objetivo: presentar un paciente joven con trombosis venosa de sitio inusual en miembro superior.  Presentación del caso: se presenta el caso de un paciente joven de 20 años sano, deportista de alto rendimiento, quien acude a consulta por cuadro subagudo de signos inflamatorios y circulación colateral en miembro superior izquierdo, con posterior confirmación de trombosis venosa de sitio inusual, se descartan causas comunes, trombofilias y luego se confirma la hipertrofia de músculos escalenos como evento precipitante. Dada la duración del cuadro en su inicio es manejado con anticoagulación e intervenido de forma quirúrgica con adecuada respuesta.  Conclusiones: la presencia de trombosis venosa de sitio inusual en miembro superior en pacientes jóvenes, sanos y deportistas obliga a sospechar el síndrome de Paget-Schroetter como principal causa, al permitir un adecuado manejo y pronóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: venous thromboembolic disease is a frequent clinical illness, associated with multiple risk factors already identified. There are presentations with atypical locations such as thrombosis in the upper limb. The etiology in the 30% of cases is the hypertrophy of the scapular waist muscles (Paget-Schroetter syndrome), which should always be suspected in healthy patients that practice sports to their maximum level, where both pharmacological and surgical treatment will offer an adequate alternative.  Objective: to present a young patient with venous thrombosis of unusual site in the upper limb.  Presentation of the case: we present the case of a 20-year-old healthy patient, previously a high-performance athlete, who went to consultation for a sub-acute symptomps of inflammatory signs and collateral circulation in the left upper limb, with subsequent confirmation of unusual site venous thrombosis. The common etiologies are ruled out and, finally, scalene hypertrophy known as Paget-Schroetter syndrome is confirmed. Given the duration of the symptoms, the anticoagulation is initially handled and subsequently he is surgically treated with an adequate response.  Conclusions: the presence of unusual site venous thrombosis in upper limb in young, healthy and athletic patients forces us to be suspicious about the Paget-Schroetter syndrome as the main etiology allowing the correct handling and prognosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TROMBOSIS VENOSA PROFUNDA DE LA EXTREMIDAD SUPERIOR/etiología]]></kwd>
<kwd lng="es"><![CDATA[TROMBOSIS VENOSA PROFUNDA DE LA EXTREMIDAD SUPERIOR/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[TROMBOSIS VENOSA PROFUNDA DE LA EXTREMIDAD SUPERIOR/cirugía]]></kwd>
<kwd lng="es"><![CDATA[TROMBOSIS VENOSA PROFUNDA DE LA EXTREMIDAD SUPERIOR/tratamiento farmacológico]]></kwd>
<kwd lng="es"><![CDATA[ANTICOAGULANTES/uso terapéutico]]></kwd>
<kwd lng="en"><![CDATA[UPPER EXTREMITY DEEP VEIN THROMBOSIS/surgery]]></kwd>
<kwd lng="en"><![CDATA[UPPER EXTREMITY DEEP VEIN THROMBOSIS/etiology]]></kwd>
<kwd lng="en"><![CDATA[UPPER EXTREMITY DEEP VEIN THROMBOSIS/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[UPPER EXTREMITY DEEP VEIN THROMBOSIS/drug therapy]]></kwd>
<kwd lng="en"><![CDATA[ANTICOAGULANTS/therapeutic use]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Koonarat]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rattarittamrong]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Tantiworawit]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rattanathammethee]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Hantrakool]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chai-Adisaksopha]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical characteristics, risk factors, and outcomes of usual and unusual site venous thromboembolism]]></article-title>
<source><![CDATA[Blood Coagul Fibrinolysis]]></source>
<year>2018</year>
<volume>29</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>12-8</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Wells]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Guzman]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Blostein]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hirsch]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A multicenter prospective study of risk factors and treatment of unusual site thrombosis]]></article-title>
<source><![CDATA[Thromb Res]]></source>
<year>2016</year>
<volume>144</volume>
<page-range>100-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hattab]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Küng]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fasanya]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[DuMont]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Deep venous thrombosis of the upper and lower extremity]]></article-title>
<source><![CDATA[Crit Care Nurs Q]]></source>
<year>2017</year>
<volume>40</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>230-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wells]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Ihaddadene]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Reilly]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Forgie]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis of venous thromboembolism 20 years of progress]]></article-title>
<source><![CDATA[Ann Intern Med]]></source>
<year>2018</year>
<volume>168</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>131-40</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ibrahim]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Dashkova]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kozikowski]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Abrol]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gandhi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paget-Schroetter syndrome in the absence of common predisposing factors a case report]]></article-title>
<source><![CDATA[Thromb J]]></source>
<year>2017</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>20</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosa Salazar]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Otálora Valderrama]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Contreras]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[García Pérez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Arroyo Tristán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García Méndez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multidisciplinary management of Paget-Schroetter syndrome A case series of eight patients]]></article-title>
<source><![CDATA[Arch Bronconeumol]]></source>
<year>2015</year>
<volume>51</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>e41-3</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinar-Pérez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Toledo-Pastor]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Viana-Broseta]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[del Pozo-García]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Deep Vein Thrombosis in Upper Limb in a Weightlifter]]></article-title>
<source><![CDATA[Open Access Maced J Med Sci]]></source>
<year>2017</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>228-30</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yagi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mitsugi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sangawa]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Akaike]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sata]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paget-Schroetter Syndrome in a Baseball Pitcher]]></article-title>
<source><![CDATA[Int Heart J]]></source>
<year>2017</year>
<volume>58</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>637-40</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Harkness]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Witmer]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Spontaneous subclavian vein thrombosis in a healthy adolescent cheerleader A case of Paget-Schroetter syndrome]]></article-title>
<source><![CDATA[Pediatr Emerg Care]]></source>
<year>2017</year>
<volume>33</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>e92-4</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ringhouse]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget-Schroetter Syndrome) in the Military Population, a Case Study]]></article-title>
<source><![CDATA[Mil Med]]></source>
<year>2017</year>
<volume>182</volume>
<numero>5-6</numero>
<issue>5-6</issue>
<page-range>e1826-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lawless]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Samson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urschel&amp;apos;s Sign in Paget Schroetter Syndrome]]></article-title>
<source><![CDATA[Am J Med]]></source>
<year>2017</year>
<volume>130</volume>
<numero>12</numero>
<issue>12</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kraaijpoel]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[van Es]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Porreca]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Büller]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Di Nisio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The diagnostic management of upper extremity deep vein thrombosis A review of the literature]]></article-title>
<source><![CDATA[Thromb Res]]></source>
<year>2017</year>
<volume>156</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>54-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Samoila]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Twine]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The infraclavicular approach for Paget-Schroetter syndrome]]></article-title>
<source><![CDATA[Ann R Coll Surg Engl]]></source>
<year>2018</year>
<volume>100</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>83-91</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dronkers]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Klok]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Huisman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current and future perspectives in imaging of venous thromboembolism]]></article-title>
<source><![CDATA[J Thromb Haemost]]></source>
<year>2016</year>
<volume>14</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1696-710</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mahmoud]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Sihvo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Räsänen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vikatmaa]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vikatmaa]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Venermo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of Paget-Schroetter syndrome with a three-stage approach including thoracoscopic rib resection at the second stage]]></article-title>
<source><![CDATA[J Vasc Surg Venous Lymphat Disord]]></source>
<year>2018</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>75-82</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
