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Idiopathic Bilateral Internal Jugular Vein Thrombosis Diagnosed by Point-of-Care Ultrasound

Victor M Aquino-Jose1, Jennifer Johnson2, Tina Dulani3

  • 1Stony Brook University Hospital, Department of Surgery, Division of Trauma, Emergency Surgery, and Critical Care, Stony Brook, New York.

Clinical Practice and Cases in Emergency Medicine
|February 18, 2020
PubMed

Internal jugular vein (IJV) thrombosis is an unusual condition, especially when it develops bilaterally. This is a case of bilateral IJV thrombosis in a 77-year old female who presented to the emergency department with neck and arm swelling after discontinuing apixaban and undergoing an oropharyngeal procedure. The diagnosis of bilateral IJV thrombosis was made with the use of point-of-care ultrasound to evaluate bilateral jugular vein distention and bilateral upper extremity pitting edema found on her physical examination.

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