scholarly journals Incidental Detection of Internal Jugular Vein Thrombosis Secondary to Undiagnosed Benign Substernal Goiter

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Mai Tone Lønnebakken ◽  
Ole Martin Pedersen ◽  
Knut Sverre Andersen ◽  
Jan Erik Varhaug
Keyword(s):  
Internal Jugular Vein ◽  
Doppler Ultrasound ◽  
Jugular Vein ◽  
Fatal Outcome ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Substernal Goiter ◽  
Internal Jugular Vein Thrombosis ◽  
The Right ◽  
Carotid Doppler

Internal jugular vein thrombosis is a serious event with potentially fatal outcome, where the clinical symptoms may be vague or absent. This paper refers to a rare case where routine carotid Doppler ultrasound prior to coronary artery bypass grafting (CABG) and aortic valve replacement (AVR) in a 76-year-old man, incidentally revealed thrombosis of the right internal jugular vein. Thoracic CT demonstrated an underlying, large, benign substernal multinodular goiter, mainly involving the right lobe, causing compression and displacement of the great vessels. A successful, one-stage operation including ligation of the internal jugular vein to avoid pulmonary embolism and hemithyroidectomy, combined with the scheduled CABG and AVR, was performed. This case illustrates that benign substernal goiter may be associated with asymptomatic internal jugular vein thrombosis. Carotid Doppler ultrasound should involve evaluation of the internal jugular vein concerning thrombosis as its presence may reveal space-occupying lesions in the thorax.

scholarly journals Metastatic carcinoma of the lung presenting as jugular venous thrombosis: a valuable clinical lesson

2021 ◽  
Vol 14 (3) ◽  
pp. 419-423
Author(s):  
◽  
◽  
How Kit Thong ◽  
Vikram Sugumaran ◽  
Hafiz Bin Mohamad Mahbob ◽  
...  
Keyword(s):  
Tumor Cells ◽  
Internal Jugular Vein ◽  
Tumor Antigens ◽  
Jugular Vein ◽  
Fatal Outcome ◽  
Metastatic Carcinoma ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Internal Jugular Vein Thrombosis ◽  
Tissue Factors

Thromboses of the upper extremity and neck are rare and not as commonly seen as lower extremity deep vein thrombosis (DVT). Internal jugular vein thrombosis (IJVT) is a serious condition with a potentially fatal outcome. Jugular vein thrombosis refers to the formation of intraluminal thrombi anywhere from the intracranial part of the jugular vein to the junction between the internal jugular vein (IJV) and subclavian vein. The relationship between malignancy and thromboembolic disorders has been well established, as Trousseau first described it in 1865. Tumor cells are known to promote hypercoagulability by expressing tissue factors that activate clotting cascades and procoagulants while promoting interactions between the tumor cells, platelets, and endothelial cells via different cytokines, tumor antigens, and their immune complexes. We are reporting our encounter with a patient who presented with extensive left internal jugular vein thrombosis as the first presenting sign of primary lung malignancy.

scholarly journals Paraneoplastic Internal Jugular Vein Thrombosis Leading to Diagnosis of Bilateral Ovarian Ependymoma

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Irappa Madabhavi ◽  
Apurva Patel ◽  
Mukesh Choudhary ◽  
Asha Anand
Keyword(s):  
Internal Jugular Vein ◽  
World Literature ◽  
Jugular Vein ◽  
Blood Chemistry ◽  
Small Cells ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
First Case ◽  
Internal Jugular Vein Thrombosis ◽  
The Right

Ovarian ependymomas are extremely rare tumors of the ovary. We present a case of a 67-year-old lady presented to us with swelling in the right side of neck for 2 months followed by pelvic pain, lower abdominal distention, and weight loss for 1 month. Her coagulation profile, blood chemistry, lipid profile, and tumor markers were within normal limits. Neck Doppler ultrasonography revealed thrombus in the right internal jugular vein and CT scan of the abdomen showed bilateral ovarian masses. Patient was subjected to debulking surgery for suspected ovarian cancer and microscopy revealed a highly cellular tumor composed of small cells with hyperchromatic, round-to-oval nuclei with scanty cytoplasm, and perivascular pseudorosettes. Diagnosis was confirmed by immunophenotype showing strong positivity to glial fibrillary acidic protein, estrogen receptors, and progesterone receptors. Patient was successfully managed with anticoagulants, adjuvant chemotherapy with BEP regimen, and letrozole. After ruling out other common conditions for thrombosis in this age group, this seems to be a paraneoplastic presentation of ovarian malignancy that preceded the diagnosis of ependymoma by 2 months. To the best of our knowledge this is the first case report in the world literature as “paraneoplastic internal jugular vein thrombosis leading to diagnosis of bilateral ovarian ependymoma.”

Incidence and clinical significance of internal jugular vein thrombosis in acute ischemic stroke

Neurosonology ◽  
2014 ◽  
Vol 26 (3) ◽  
pp. 139-142
Author(s):  
Atsushi TSURUOKA ◽  
Takahiro SHIMIZU ◽  
Heisuke MIZUKAMI ◽  
Atsuko SHIMODE ◽  
Kazuhiko HANZAWA ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Clinical Significance ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Internal Jugular Vein Thrombosis

scholarly journals Unprovoked internal jugular vein thrombosis: a case report and literature review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Loïc Payrard ◽  
Léa Iten ◽  
Jacques Donzé ◽  
Gregor John
Keyword(s):  
Literature Review ◽  
Internal Jugular Vein ◽  
Lower Limb ◽  
Jugular Vein ◽  
Scientific Data ◽  
Jugular Vein Thrombosis ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
Arm Pain ◽  
Internal Jugular Vein Thrombosis

Abstract Background Managing thrombosis in rare sites is challenging. Existing studies and guidelines provide detailed explanations on how to overcome lower-limb thromboses and pulmonary embolisms, but few studies have examined thrombosis in rare sites. Lack of data makes clinical practice heterogeneous. Recommendations for diagnosing, treating, and following-up internal jugular vein thrombosis are not clearly defined and mostly based on adapted guidelines for lower-limb thrombosis. Case presentation A 52-year-old Caucasian woman came to the Emergency Department with chest, neck, and left arm pain. Computed tomography imagery showed a left internal jugular vein thrombosis. An extensive workup revealed a heterozygous factor V Leiden gene. Therapy was initiated with intravenous unfractionated heparin, then switched to oral acenocoumarol, which resolved the symptoms. Based on this case presentation and a literature review, we summarize the causes, treatment options, and prognosis of unprovoked internal jugular vein thrombosis. Conclusions Managing internal jugular vein thrombosis lacks scientific data from large randomized clinical trials, partly because such thromboses are rare. Our literature review suggested that clinical treatments for internal jugular vein thrombosis often followed recommendations for treating lower-limb thrombosis. Future specific studies are required to guide clinicians on the modalities of diagnosis, screening for thrombophilia or oncologic disease, treatment duration, and follow-up.

scholarly journals Internal jugular vein thrombosis by sewing needle ingestion

2021 ◽  
pp. 105988
Author(s):  
Reda BENDIOURI ◽  
Ilham CHENNOUFI ◽  
Azeddine LACHKAR ◽  
Drissia BENFADIL ◽  
Adil ABDENBI ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Sewing Needle ◽  
Internal Jugular Vein Thrombosis

Internal jugular vein thrombosis: an uncommon presentation

Vascular ◽  
2013 ◽  
Vol 21 (4) ◽  
pp. 267-269 ◽  
Author(s):  
Sachin Mittal ◽  
Pradeep Garg ◽  
Surender Verma ◽  
Sandeep Bhoriwal ◽  
Sourabh Aggarwal
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Color Doppler ◽  
Venous Catheter ◽  
Neck Surgery ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Uncommon Presentation ◽  
Internal Jugular Vein Thrombosis

Internal jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as ovarian hyperstimulation, deep vein thrombosis of upper limbs, venous catheter, malignancy, trauma, infection, and neck surgery and hypercoagulable status. We report an unusual case of internal jugular vein thrombosis with cerebral sinus thrombosis, postpartum in a 22-year-old female patient who presented with a painful swelling on the left side of her neck. Diagnosis was established by color Doppler ultrasonography and magnetic resonance venography. Thorough evaluation of the patient revealed no etiological factor leading to thrombosis. Patient was treated with low-molecular-weight heparin.

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