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Posttraumatic internal jugular vein thrombosis presenting as a painful neck mass in a child

Maria Gallanos1, John W Hafner

  • 1Department of Emergency Medicine, Sarah Bush Lincoln Health Center, Mattoon, IL, USA.

Pediatric Emergency Care
|August 19, 2008
PubMed

Insights

A pediatric case of traumatic internal jugular vein thrombosis (IJVT) in a 7-year-old boy is presented. Prompt diagnosis and treatment led to full symptom resolution without complications.

Area of Science:

  • Pediatric Medicine
  • Vascular Surgery
  • Radiology

Background:

  • Internal jugular vein thrombosis (IJVT) is a rare but serious condition.
  • Traumatic IJVT is particularly uncommon in pediatric patients.
  • Early diagnosis and management are crucial to prevent severe complications.

Observation:

  • A 7-year-old boy presented with severe neck pain after a fall.
  • Initial diagnosis was lymphadenitis with possible abscess.
  • Imaging revealed occlusive left internal jugular vein thrombosis.

Findings:

  • Contrast-enhanced CT and Doppler ultrasound confirmed internal jugular vein thrombosis.
  • The patient received intravenous antibiotics and close monitoring.
  • Complete resolution of symptoms was achieved within one year.

Implications:

  • This case highlights the importance of considering IJVT in pediatric neck swelling, even after trauma.
  • A systematic diagnostic approach is essential for accurate and timely diagnosis.
  • Early recognition and management of traumatic IJVT can lead to favorable outcomes.

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