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Idiopathic Bilateral External Jugular Vein Thrombosis
1Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
The American Journal of Case Reports
|August 25, 2015
Summary
Idiopathic bilateral external jugular vein thrombosis is a rare condition, even without malignancy. This case highlights that external jugular vein thrombosis can occur in healthy individuals, emphasizing the need for thorough diagnosis.
Area of Science:
- Vascular Medicine
- Thrombosis Research
- Medical Case Studies
Background:
- Virchow's triad (hypercoagulability, stasis, endothelial injury) explains venous thrombosis.
- Lower extremity veins are common sites due to gravity and muscle dependence.
- Jugular veins, despite favorable anatomy, can develop thrombosis, often linked to malignancy.
Observation:
- A 21-year-old male presented with bilateral facial puffiness over one month.
- Diagnosis of idiopathic bilateral external jugular vein thrombosis was confirmed via Doppler ultrasound and CT.
- No evidence of infection or neoplasia was found in further investigations.
Findings:
- This case represents an extremely rare instance of idiopathic bilateral external jugular vein thrombosis.
- The patient, a young construction worker, had no prior medical history.
- Symptoms resolved completely after 6 months of warfarin treatment.
Implications:
- External jugular vein thrombosis can occur in individuals without malignancy.
- This condition, though rare, warrants consideration even in the absence of typical risk factors.
- Further research may elucidate less common causes of jugular vein thrombosis.
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