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Bilateral inner jugular vein thrombosis on account of malignant tumor.
J Med Case Rep. 2018 Feb 20;12(1):42
Authors: Leci-Tahiri L, Zherka-Saracini H, Tahiri A, Koshi A
Summary
BACKGROUND: The goal of the research was to investigate traits of sufferers with bilateral inner jugular vein thrombosis in our division throughout a 1-year interval. Inside jugular vein thrombosis refers to an intraluminal thrombus occurring wherever from the intracranial inner jugular vein to the junction of the inner jugular vein and the subclavian vein, which type the brachiocephalic vein. It could actually happen spontaneously or as a complication of head and neck infections, surgical procedure, central venous traces, native malignancy, polycytemia, hyperhomocysteinemia, neck therapeutic massage, or intravenous drug abuse. Spontaneous bilateral inner jugular vein thrombosis might happen on account of a neoplasm, a situation referred to as Trousseau’s syndrome.
METHODS: The medical data of 4 sufferers with inner jugular vein thrombosis had been reviewed for affected person scientific traits, together with age, intercourse, and different illnesses. It is a retrospective research, and we analyzed 4 sufferers who had distant malignant tumors.
RESULTS: Throughout a 1-year interval, 4 male sufferers had been referred to our division for bilateral inner jugular vein thrombosis. Three of them had lung neoplasm, and one had urinary tract neoplasm. Three sufferers had thrombosis within the higher arm on the similar time, one among them in each arms. Remedy consisted of unfractioned heparin in all sufferers. The primary scientific manifestations had been ache and cervical edema. The time between the primary scientific manifestation and prognosis of inner jugular vein thrombosis was four days. Within the present research, no affected person exhibited problems on account of inner jugular vein thrombosis.
CONCLUSIONS: Diagnosing inner jugular vein thrombosis requires a excessive diploma of suspicion. Our research underlines that bilateral inner jugular vein thrombosis is a threat indicator for malignancy. In our literature assessment of inner jugular vein thrombosis, 85% of sufferers exhibited unilateral thrombosis, whereas the remaining sufferers had bilateral thrombosis (15%). The information of predictive elements of inner jugular vein thrombosis appears to be of utmost significance to enhance affected person administration.
PMID: 29458414 [PubMed – in process]