Sanborn Matthew, Koury Matthew, Maity Alisha, Ali Zonera
Department of Internal Medicine, Lankenau Medical Center, Wynnewood, PA.
Department of Hematology and Oncology, Lankenau Medical Center, Wynnewood, PA.
Ochsner J. 2025 Fall;25(3):199-200. doi: 10.31486/toj.25.0002.
Upper extremity deep vein thrombosis accounts for a small percentage of all deep vein thrombosis cases, and internal jugular vein thrombosis is a rare subset within that category. Typically, internal jugular vein thrombosis is found in patients with predisposing risk factors such as infections, local trauma secondary to venous catheterization, intravenous drug use, and malignancy.
We describe the case of a patient with no typical risk factors for thrombus formation who developed internal jugular vein thrombosis following a deep tissue massage with a focus on the neck area. The patient developed right arm pain shortly after the massage, prompting her to present to the emergency department. Ultrasound revealed a nonocclusive thrombus in the right internal jugular vein. The patient was started on rivaroxaban, and her symptoms resolved.
Deep tissue massage is not a well-established cause of internal jugular vein thrombosis. This case emphasizes the importance of obtaining a thorough patient history to assess for uncommon traumatic causes of internal jugular vein thrombosis.
上肢深静脉血栓形成在所有深静脉血栓形成病例中占比很小，而颈内静脉血栓形成是该类别中的罕见亚型。通常，颈内静脉血栓形成见于有易感风险因素的患者，如感染、静脉置管继发的局部创伤、静脉药物使用和恶性肿瘤。
我们描述了一例没有典型血栓形成风险因素的患者，在进行以颈部区域为重点的深层组织按摩后发生了颈内静脉血栓形成。按摩后不久患者出现右臂疼痛，促使她前往急诊科就诊。超声检查显示右侧颈内静脉有非闭塞性血栓。患者开始服用利伐沙班，症状得到缓解。
深层组织按摩并非颈内静脉血栓形成的公认病因。该病例强调了全面了解患者病史以评估颈内静脉血栓形成罕见创伤性病因的重要性。
