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Idiopathic bilateral external jugular vein thrombosis--a case report
S Sengupta1, Y Kalkonde, R Khot
1Department of Medicine, Government Medical College, Nagpur, India. shantanu_1998@hotmail.com
Angiology
|February 24, 2001
Summary
This case report details a rare instance of bilateral external jugular vein thrombosis in a 45-year-old man. Despite thorough investigation, no underlying cause was identified, highlighting the importance of recognizing this unusual presentation.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Internal Medicine
Background:
- External jugular vein thrombosis (EJVT) is an uncommon condition.
- It can present with neck swelling and facial puffiness.
- Etiologies are diverse, including infection, trauma, and hypercoagulable states.
Observation:
- A 45-year-old male presented with bilateral neck swelling and facial edema.
- Physical examination revealed palpable, cord-like thickening of both external jugular veins.
- Imaging studies, including echocardiography, Doppler, and digital subtraction angiography (DSA), confirmed bilateral external jugular vein thrombosis.
Findings:
- Extensive workup excluded malignancy, coagulation disorders, and infection as causes.
- The patient remained asymptomatic with no disease progression during a 1-year follow-up.
- This suggests a possible idiopathic or spontaneously resolving nature in some cases.
Implications:
- Highlights the rare presentation of bilateral external jugular vein thrombosis.
- Emphasizes the need for comprehensive diagnostic evaluation to rule out serious underlying conditions.
- Suggests that idiopathic EJVT may occur and can be managed conservatively with close monitoring.