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Axillary vein compression by Langer's axillary arch,an aberrant muscle bundle of the latissimus dorsi
Authors:Franz Hafner  Gerald Seinost  Thomas Gary  Maurice Tomka  Dieter Szolar  Marianne Brodmann
Affiliation:1. Department of Orthopaedic Surgery, Vienna General Hospital, Medical University of Vienna, Vienna, Austria;2. Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, 1st Medical Dept. Hanusch Hospital, Vienna, Austria;3. Department of Pathology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria
Abstract:BackgroundAxillary vein compression is an important differential diagnosis in swelling of the upper extremities besides deep venous thrombosis.Case reportWe present a rare case of axillary vein compression in a 17-year-old female with intermittent swelling and pain of the left arm due to an aberrant muscle bundle of the left latissimus dorsi. After resection of this bundle, which corresponded to Langer's axillary arch, the swelling and pain on the left arm resolved completely.ConclusionIn symptomatic patients with axillary vein compression due to Langer's axillary arch, a resection of the muscle bundle is an effective way of treatment.
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