Upper extremity deep vein thrombosis with tourniquet use

Introduction: Upper extremity deep vein thrombosis is an increasingly important clinical finding with significant morbidity and mortality. The condition may be under-diagnosed in trauma and surgery settings.

Presentation of case: We present a case of upper extremity thrombosis with venous congestive symptoms secondary to the use of an operative tourniquet. A literature review and discussion of the causes of upper extremity deep vein thrombosis and the pathophysiological disturbances seen with tourniquet use are presented.

Discussion: Upper extremity deep venous thrombosis is uncommon. In this case the likely cause was operative tourniquet use.

Conclusion: Operative tourniquet may be a risk factor in upper extremity deep vein thrombosis.