A Rare Cause of the Emergency Department Visit: Internal Jugular Vein Thrombosis

Year 2021, , 68 - 70, 18.08.2021

Gökhan Akdur , Okan Bardakcı , Okhan Akdur , Murat Daş , Unzile Atalay

https://doi.org/10.33706/jemcr.859366

Abstract

Introduction
Detection of the internal jugular vein thrombus (IJVT) in the Emergency Department with bedside ultrasonography is not common.
Case Report
A 43 years old male patient was admitted to our emergency department with the complaint of pain, swelling and redness on the left side of the neck, which was noticed after chemotherapy 1 day ago. The swelling and redness of the hand, starting from the left clavicle and extending to the corner of the left mandible, were detected in the physical examination of the patient. The patient underwent bedside ultrasonography imaging by the emergency medicine specialist. Ultrasonography examination of the patient was performed with 5-12 MHz linear probe. After visualization of the vascular structures carotid, vascular structures were observed in the sagittal and longitudinal plane by gradual compression. Hyper echoic thrombus was seen in the incompressible internal jugular vein.
Conclusion
IJVT can lead to complications such as pulmonary embolism, septic embolism, cerebral venous thrombosis. These complications may decrease with early diagnosis and treatment. It is a rare condition in IJVT Emergency Services. The increasing use of bedside ultrasonography by emergency physicians will prevent possible complications that will enable these patients to be easily diagnosed and successful treatments in recent years.

Keywords

Doppler Ultrasound Imaging, Emergency Department, Jugular Vein, Venous Thrombosis

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