Lavadi Raj Swaroop, Aditya Challapalli, Tejaswi Karri Nst, Nambakam Tanuja Subramanyam, Lokare Shweta Meghnath
Department of General Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
Int J Appl Basic Med Res. 2022 Jan-Mar;12(1):61-63. doi: 10.4103/ijabmr.ijabmr_372_21. Epub 2022 Jan 31.
Internal jugular vein (IJV) thrombosis is associated with several etiologies. Trauma is a rarely recorded causative factor. This case presents one such example of how trauma causes IJV thrombosis. A middle-aged woman presented to the general medicine outpatient department with complaints of pain in the base of the left side of the neck and swelling of the left arm and neck for six days. The symptoms had occurred following a trivial trauma to the left side of the neck due to pressure from a 25 L water can. Before the patient came to our hospital, she went to a local clinic, where magnetic resonance imaging was done and showed findings suspicious of thrombosis in her left IJV with extension into adjacent veins. A venous Doppler confirmed the findings. The patient was then treated conservatively with low-molecular-weight heparin, muscle relaxants, and antibiotics. Although uncommon, vascular injuries should also be thought of following minor trauma and not just musculoskeletal events. This case report proposes that IJV thrombosis can also occur without the classical etiological factors.
颈内静脉（IJV）血栓形成与多种病因相关。创伤是一种鲜有记录的致病因素。本病例展示了一个创伤导致颈内静脉血栓形成的实例。一名中年女性因左侧颈部基部疼痛以及左臂和颈部肿胀6天就诊于普通内科门诊。这些症状是在一个25升的水桶压迫左侧颈部造成轻微创伤后出现的。在患者来我院之前，她前往当地诊所，在那里进行了磁共振成像检查，结果显示左侧颈内静脉有血栓形成并累及相邻静脉，表现可疑。静脉多普勒检查证实了这些结果。随后患者接受了低分子量肝素、肌肉松弛剂和抗生素的保守治疗。尽管罕见，但轻微创伤后也应考虑血管损伤，而不仅仅是肌肉骨骼损伤。本病例报告表明，颈内静脉血栓形成也可能在没有典型病因的情况下发生。
