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Deep Vein Thrombosis in a Young, Healthy Baseball Catcher

A Case Report and Review of the Literature

Abood, Kimberly K., BSc*; Paul, Megan Rose, MD; Kuo, Dennis John, MD, MS

Journal of Pediatric Hematology/Oncology: May 2019 - Volume 41 - Issue 4 - p 321–323
doi: 10.1097/MPH.0000000000001113
Clinical and Laboratory Observations
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Venous thromboembolism is becoming increasingly recognized as a significant cause of morbidity and mortality in the hospitalized pediatric population. However, young healthy athletes can present with unique risk factors for deep vein thrombosis (DVT) that can be overlooked. Here we report a case of an adolescent male with no inherited risk factors or prior history of DVTs who developed a right femoral vein DVT in the context of playing catcher in baseball after recovering from a bout of streptococcal pharyngitis. We review the evidence that suggests that repetitive squatting-induced compression of the femoral vein can cause the venous stasis and endothelial microtrauma that contributed to the formation of this thrombus.

*University of California, School of Medicine

Division of Pediatric Hematology-Oncology, University of California, San Diego/Rady Children’s, Hospital-San Diego, San Diego, CA

The authors declare no conflict of interest.

Reprints: Dennis John Kuo, MD, MS, Division of Pediatric Hematology-Oncology, Rady Children’s Hospital-San Diego/University of California, San Diego, 3020 Children’s Way, MC 5035, San Diego, CA 92123 (e-mail: dekuo@ucsd.edu).

Received July 29, 2017

Accepted November 8, 2017

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