A Case Study of Deep Vein Thrombosis of the Right Internal Jugular Vein in a Healthy 21-Year-Old Male.

Javier Corral,Geri Villanueva

doi:10.1155/2016/7654749

Abstract

We are reporting a case of a healthy 21-year-old male, with no significant past medical history, who was found to have an incidental nonocclusive deep vein thrombosis in the right internal jugular vein detected on a head MRI previously ordered for work-up of headaches. A follow-up upper extremity venous Doppler ultrasound confirmed the presence of a partially occlusive deep vein thrombosis in the right jugular vein. The case presented is unique for the reason that the patient is young and has no prior risk factor, personal or familial, for venous thrombosis except for associated polycythemia on clinical presentation.

Highlights

Isolated internal jugular vein (IJV) thrombosis is a rare condition that is underdiagnosed and associated with significant morbidity such as pulmonary embolism and postthrombotic syndrome
There are no set guidelines for the treatment for IJV thrombosis but most reported cases of IJV thrombosis are treated to lower extremity deep vein thrombosis (DVT), primarily with a 3–6-month course of anticoagulation therapy, and in rare selected cases with initial thrombolysis, venous thrombectomy, or placement of a superior vena cava filter when anticoagulation is contraindicated
IJV thrombosis was most commonly associated with upper extremity thrombosis in 72% of the cases compared to 28% of isolated cases

Summary

Introduction

Isolated internal jugular vein (IJV) thrombosis is a rare condition that is underdiagnosed and associated with significant morbidity such as pulmonary embolism and postthrombotic syndrome. The most common causes of IJV thrombosis are cancer, central venous catheter, and ovarian hyperstimulation syndrome. Patients may present with a painful swollen neck or may be asymptomatic. There are no set guidelines for the treatment for IJV thrombosis but most reported cases of IJV thrombosis are treated to lower extremity DVTs, primarily with a 3–6-month course of anticoagulation therapy, and in rare selected cases with initial thrombolysis, venous thrombectomy, or placement of a superior vena cava filter when anticoagulation is contraindicated

Case Report

Findings

Discussion

Conclusion