Gajarla Sneha B, Davila Natalia, Guiseppi Rodney, MomPremier Mikelson
Department of Ophthalmology, University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus. 2024 Jan 17;16(1):e52465. doi: 10.7759/cureus.52465. eCollection 2024 Jan.
Angular vein thrombosis is a rare vascular disorder marked by the occlusion of the angular vein by a blood clot. We report the case of a 70-year-old woman who presented with a visible bulge near her left nasojugal groove for one week and had no other associated symptoms or pertinent medical history. Subsequent maxillofacial CT scans with contrast revealed left angular vein thrombosis with dilation of the facial vein inferiorly. Despite its rarity, angular vein thrombosis poses a diagnostic challenge due to overlapping symptoms with other vascular and nonvascular pathologies. This case highlights the importance of early identification to prevent complications such as facial venous circulation obstruction and clot migration to the cavernous sinus.
角静脉血栓形成是一种罕见的血管疾病,其特征是血凝块阻塞角静脉。我们报告了一例70岁女性病例,该患者左鼻颧沟附近出现可见隆起一周,无其他相关症状或相关病史。随后的增强颌面CT扫描显示左侧角静脉血栓形成,面静脉下段扩张。尽管角静脉血栓形成罕见,但由于其症状与其他血管和非血管病变重叠,因此在诊断上具有挑战性。该病例强调了早期识别以预防诸如面部静脉循环障碍和血栓迁移至海绵窦等并发症的重要性。