Unprovoked internal jugular vein thrombosis: a case report and literature review.

Details

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CC04038AFCCD
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Unprovoked internal jugular vein thrombosis: a case report and literature review.
Journal
Thrombosis journal
Author(s)
Payrard L., Iten L., Donzé J., John G.
ISSN
1477-9560 (Print)
ISSN-L
1477-9560
Publication state
Published
Issued date
06/01/2021
Peer-reviewed
Oui
Volume
19
Number
1
Pages
2
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Managing thrombosis in rare sites is challenging. Existing studies and guidelines provide detailed explanations on how to overcome lower-limb thromboses and pulmonary embolisms, but few studies have examined thrombosis in rare sites. Lack of data makes clinical practice heterogeneous. Recommendations for diagnosing, treating, and following-up internal jugular vein thrombosis are not clearly defined and mostly based on adapted guidelines for lower-limb thrombosis.
A 52-year-old Caucasian woman came to the Emergency Department with chest, neck, and left arm pain. Computed tomography imagery showed a left internal jugular vein thrombosis. An extensive workup revealed a heterozygous factor V Leiden gene. Therapy was initiated with intravenous unfractionated heparin, then switched to oral acenocoumarol, which resolved the symptoms. Based on this case presentation and a literature review, we summarize the causes, treatment options, and prognosis of unprovoked internal jugular vein thrombosis.
Managing internal jugular vein thrombosis lacks scientific data from large randomized clinical trials, partly because such thromboses are rare. Our literature review suggested that clinical treatments for internal jugular vein thrombosis often followed recommendations for treating lower-limb thrombosis. Future specific studies are required to guide clinicians on the modalities of diagnosis, screening for thrombophilia or oncologic disease, treatment duration, and follow-up.
Keywords
Internal jugular vein, Thrombophilia, Thrombosis, Unprovoked
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2021 13:30
Last modification date
29/11/2023 7:23
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