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Case Reports in Vascular Medicine
Volume 2015 (2015), Article ID 929127, 4 pages
http://dx.doi.org/10.1155/2015/929127
Case Report

Mediastinal B-Cell Lymphoma Presenting with Jugular-Subclavian Deep Vein Thrombosis as the First Presentation

1Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA
2Department of Oncological Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USA

Received 10 November 2014; Accepted 18 February 2015

Academic Editor: Luca Masotti

Copyright © 2015 Sherif Ali Eltawansy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Jugular venous thrombosis infrequently could be secondary to malignancy and has seldom been reported secondary to mediastinal large B-cell lymphomas. The postulated mechanisms are mechanical compression that leads to stagnation of blood in the venous system of the neck and/or an increase in the circulating thrombogenic elements that could cause venous thromboembolism as a paraneoplastic phenomenon. We report the case of a middle aged male presenting with right sided neck pain and arm swelling secondary to ipsilateral jugular-subclavian deep vein thrombosis. Investigations revealed it to be secondary to a mediastinal mass shown on CT scan of the chest.