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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 2000 June;7(2):135-46
language: English, Italian
Internal jugular vein thrombosis with no evident causes. A case report
Bacciu P. P., Marongiu G. M., Canu G. L.
From the Department of Vascular Surgery (Head: Prof. P. P. Bacciu) University of Sassari, Italy
Internal jugular vein thrombosis (IJVT) is not very common today, but was well known in the pre-antibiotic era in concomitance with severe infections of the head and neck. At present, the most common cause of IJVT is the ever more frequent use of endovenous drugs, especially when infused through a central (subclavian, external jugular) vein. In addition, the hyperstimulation of the ovaries in in vitro fertilisation has led to an ever higher number of IJVT cases being reported in the literature. Other major causes of this particular thrombosis are: compressions and/or infiltrations by primary or secondary tumours; local surgical manipulations, local or regional sepsis; the extension to the jugulars of venous thromboses on other sites (the sinuses of the dura mater). The symptoms vary considerably but are likely to include a palpable swelling of the neck that is painful either spontaneously or if subjected to pressure, with a hard, elastic consistency and without any sign of inflammation or adenopathy. The condition is fairly easily diagnosed in the presence of a central venous catheter, an injury, a tumour or a venous thrombosis of a dura mater sinus. However there are totally asymptomatic forms which will only be diagnosed by accident in the course of other examinations. The case reported is of particular interest since it was encountered in a patient with no known aetiological factors and no test results indicative of the condition (the only indicator being the patient’s treatment with oral oestroprogestins). The case encountered offers the opportunity for a review of the literature on this condition.