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Internal jugular venous thrombosis after in vitro fertilization
Yosef Leibman1, Michal Ayalon, Ivan P Steiner
1Department of Emergency Services, Bikur Holim Hospital, Jerusalem, Israel.
The Journal of Emergency Medicine
|March 21, 2008
Summary
Internal jugular vein thrombosis is rare but serious. Assisted reproductive techniques, particularly with ovarian hyperstimulation syndrome, may increase risk in women presenting with neck pain.
Area of Science:
- Vascular Medicine
- Reproductive Endocrinology
- Emergency Medicine
Background:
- Internal jugular vein thrombosis (IJVT) is uncommon, associated with significant morbidity and mortality.
- Intravenous drug use is the most frequent cause, while spontaneous IJVT is rare.
- Assisted reproductive techniques (ART) and ovarian hyperstimulation syndrome (OHSS) are increasingly recognized as potential risk factors.
Observation:
- This case report details a patient who developed IJVT following in vitro fertilization (IVF) and subsequent OHSS.
- The patient presented with symptoms suggestive of IJVT, including neck pain.
Findings:
- The patient's presentation highlights a potential link between ART, OHSS, and IJVT.
- This association underscores the need for heightened clinical suspicion in specific patient populations.
Implications:
- Emergency departments should consider ruling out IJVT in pregnant patients with a history of IVF who present with neck pain, swelling, or neck collateral changes.
- Early diagnosis and management of IJVT in this demographic can mitigate severe complications.
- Further research is warranted to elucidate the precise mechanisms and incidence of IJVT in ART patients.
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