Idiopatic jugular vein thrombosis

Czech version

Authors: J. Chlumský; J. Havlín
Authors‘ workplace: Přednosta: prof. MUDr. Milan Kvapil, CSc., MBA. ; Interní klinika 2. LF UK ve FN Motol, Praha
Published in: Prakt. Lék. 2008; 88(9): 542-543
Category: Case Report

Overview

Jugular vein thrombosis (JVT) is usually secondary to central venous catheterisation, distant malignancy, hyperkoagulable state or ovaria hyperstimulation syndrome. Spontaneous IJV thrombosis is an extremely rare entity. A 61-year-old man presented with swelling of the right side of the face, an ultrasonographic scan showed thrombosis of right IJV, laboratory evaluation, which included oncomarkers, X-ray, CT scan and abdominal ultrasonographic examination to search for malignancy, was normal. The patient was heparinized by LMWH and then underwent anticoagulation with warfarin for 6 months. One year later the patient is in good clinical condition and without malignancy. We discuss the etiology and the treatment of JVT.

Key words:
thrombosis, jugular vein, anticoagulation treatment.

Sources

1. Alasiri, S.A., Case, A.M. Thrombosis of subclavian and internal jugular veins following severe ovarian hyperstimulation syndrome: a case report. J. Obstet. Gynaecol. Can. 2008, 30, p. 590-597.

2. Arullendran, P., Jani, P., Baglin, T., Motat, D.A. Internal jugular vein thrombosis in association with the factor V Leiden mutation. J. Laryngol. Otol. 1998, 112, p. 383–386.

3. Bertina, R.M. The prothrombin 20210G to A variation and thrombosis. Curr. Opin. Hematol. 1998, 5, p. 339–342.

4. Carrington, B.M., Adams, J.E. Jugular vein thrombosis associated with distant malignancy. Postgrad. Med. J. 1988, 64, p. 455–458.

5. Cohen, J.P. Persky, M.S., Reede, D.L. Internal jugular vein thrombosis. Laryngoscope 1985, 95, p. 1478–1482.

6. Edwards, R.L., Rickles, F.R. Thrombosis and cancer. Prog. Haemost. Throm. 1996, 35, p. 374-382.

7. Gaitini, D., Kaftori, J., Perry, M. et al. High-resolution real-time ultrasonography:diagnosis and follow-up of jugular and subclavian vein thrombosis. J. Ultrasound Med. 1988, 7, p. 621-627.

8. Chastre, J., Cornud, F., Bouchama, A. et al. Thrombosis as a complication of pulmonary artery catheterization via the internal jugular vein: prospective evaluation by phlebography. N. Enol. J. Med. 1982, 306, p. 278-281.

9. Chlumský, J. Antikoagulační léčba. Praha: Grada 2005, ISBN 80-247-9061-0.

10. Chowdhury, K., Bloom, J., Black, M.J., Al-Noury, K. Spontaneous and non-spontaneous internal jugular vein thrombosis. Head Neck 1990, 12, p. 168–173.

11. Major, K.M., Bulic, S., Rowe, V.L. et al. Internal jugular, subclavian, and axillary deep venous thrombosis and the risk of pulmonary embolism. Vascular Med. 2008, 16, p. 73-79.

12. Timsit, J.F., Farkas, J.C., Boyer, J.M. et al. Central vein catheter-related thrombosis in intensive care patients: incidence, risks factors, and relationship with catheter-related sepsis. Chest 1998, 114, p. 207-213.

13. Yan, P., Norante, J. Thrombophlebitis of the internal jugular vein secondary to pharyngitis. Arch. Otolaryngol. 1986, 160, p. 507-508.