Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Paediatrics, Malaysia.
Med J Malaysia. 2021 May;76(3):438-440.
Venous thrombosis is a potentially life-threatening condition with varied aetiology. First described in 1912 as a complication of peritonsillar abscess, internal jugular vein (IJV) thrombosis is a rare entity in children with very few cases reported until now. Among the leading causes of this condition are prolonged use of IJV for venous access and central venous catheterisation, acute mastoiditis and Lemierre's syndrome.1 IJV thrombosis can also occur as a complication of head and neck infections, but rarely appears as its first presentation. The clinical manifestations are often vague and ambiguous, thus requiring a high index of suspicion to diagnose IJV thrombosis. We describe here a case of internal jugular vein thrombosis (IJVT) and the management of this rare condition in an otherwise healthy 8- year-old boy. The patient was investigated thoroughly to rule out possible pathological causes of IJV thrombosis and managed holistically with a multidisciplinary team approach. Although the occurrence is rare, it should be recognised as a complication of deep neck infections in order to initiate prompt and accurate therapy.
静脉血栓形成是一种潜在的危及生命的疾病，其病因多种多样。1912 年首次描述为扁桃体周脓肿的并发症，颈内静脉（IJV）血栓形成在儿童中是一种罕见的疾病，到目前为止，仅有极少数病例报道。导致这种情况的主要原因包括长时间使用 IJV 进行静脉通路和中心静脉置管、急性乳突炎和勒米尔氏综合征。1 IJV 血栓形成也可作为头颈部感染的并发症发生，但很少作为首发表现出现。临床表现往往模糊不清，因此需要高度怀疑才能诊断 IJV 血栓形成。我们在这里描述了一例颈内静脉血栓形成（IJVT）和对这名健康 8 岁男孩的这种罕见疾病的综合管理。对患者进行了彻底的检查，以排除 IJV 血栓形成的可能病理性原因，并通过多学科团队方法进行全面管理。尽管这种情况很少见，但应将其视为深部颈部感染的并发症，以便及时准确地进行治疗。
