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A CASE OF PULMONARY EMBOLISM FROM SUPERFICIAL VENOUS THROMBOSIS WITH AN UPPER EXTREMITY SOURCE IN A 35‐YEAR‐OLD FEMALE ON ORAL CONTRACEPTIVE PILLS

Background and Aims: Venous Thromboembolism accounts for a significant cause of morbidity and mortality, both in the general and at risk populations. Certain risk factors put patients at an increased propensity to develop VTE, including a prior history of pulmonary embolism (PE), immobility, malignancy, obesity, smoking, and oral contraceptive pill (OCP) use. Superficial vein thrombosis (SVT) is a relatively uncommon form that is only starting to be recognized to have significant association with deep vein thrombosis (DVT) and PE. PE secondary to upper extremity SVT in the absence of any DVT are rare. A 35-year-old female with a brief history of OCP use, presented with dyspnoea and palpitations at the emergency department (ED). She had no history of immobility, thromboembolic events, trauma or malignancies. Upper and lower extremity venous Doppler were done which showed SVT in the left cephalic vein. CT angiogram confirmed PE. Patient was treated conservatively with enoxaparin and rivaroxaban, which afforded resolution of symptoms.