Background: Present a rare case of a subclavian vein thrombosis after an osteopathy session of a young woman.

Aims: Discuss if there is a real relation between the osteopathy session and the thrombosis discovered just after.

Methods: A young woman 27 years old, consulting for pain and edema after her osteopathy session. She felt an acute pain during the osteopathy session and few hours after she started to see the edema of her left arm and subclavian area. The doppler echography shows a recent, hypo echogenic thrombus in the subclavian vein of her left arm. No jugular or humeral thrombosis. This thrombus is isolated. The patient has systemic lupus erythematosus, but any treatment, just a regular follow in internal medicine. She don’t have the risk factors of thrombosis, no hormonal contraception, no smoking, no other pathology or treatment, no recent long trip, no recent surgery or infection, no recent hospitalization, no pregnancy.

Results: Her blood results are normal, no anti-phospholipid syndrome and no other thrombophilia.
She had three months Warfarine treatment and the subclavian vein was completely clear in the doppler control at the end of the treatment. The edema desapeared in the first 3 weeks of treatment, but she kept a residual local pain during few mouvements of the arm.

Conclusions: p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; text-align: justify; font: 12.0px ´Times New Roman´; -webkit-text-stroke: #000000} span.s1 {font-kerning: none} We can put the question, if this is just a coincidence or the osteopathy session can be the origin of the thrombosis? Is her Lupus the origin? even if it is follow in internal medicine and it dose’t need treatment. In the doubt, we consider that her Lupus is the risk persistent factor. But, should we let the warfarin treatment for life or she should stop the osteopathy?

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ISTH Congress Abstracts - https://abstracts.isth.org/abstract/vein-thrombosis-after-an-osteopathy-session/