Aquino-Jose Victor M, Johnson Jennifer, Dulani Tina
Stony Brook University Hospital, Department of Surgery, Division of Trauma, Emergency Surgery, and Critical Care, Stony Brook, New York.
North Shore University Hospital-Northwell Health, Department of Emergency Medicine, Manhasset, New York.
Clin Pract Cases Emerg Med. 2020 Jan 21;4(1):101-102. doi: 10.5811/cpcem.2019.11.44855. eCollection 2020 Feb.
Internal jugular vein (IJV) thrombosis is an unusual condition, especially when it develops bilaterally. This is a case of bilateral IJV thrombosis in a 77-year old female who presented to the emergency department with neck and arm swelling after discontinuing apixaban and undergoing an oropharyngeal procedure. The diagnosis of bilateral IJV thrombosis was made with the use of point-of-care ultrasound to evaluate bilateral jugular vein distention and bilateral upper extremity pitting edema found on her physical examination.
颈内静脉血栓形成是一种罕见的病症，尤其是双侧发生时。本文报告一例77岁女性双侧颈内静脉血栓形成病例，该患者在停用阿哌沙班并接受口咽手术后出现颈部和手臂肿胀，前往急诊科就诊。通过床旁超声检查评估双侧颈静脉扩张以及体格检查发现的双侧上肢凹陷性水肿，确诊为双侧颈内静脉血栓形成。
