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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Vasc+Health+Risk+Manag
2018 ; 14
(ä): 153-155
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English Wikipedia
Spontaneous internal jugular vein thrombosis as primary presentation of
antiphospholipid syndrome: case report
#MMPMID30038499
Al-Zoubi NA
Vasc Health Risk Manag
2018[]; 14
(ä): 153-155
PMID30038499
show ga
INTRODUCTION: Spontaneous and isolated internal jugular vein (IJV) thrombosis is
a rare entity, and atypical localization for venous thromboembolism usually
occurs after an oropharyngeal infection, cancer, central venous catheter, and
ovarian hyperstimulation syndrome. This report describes a case of spontaneous
IJV thrombosis leading to neck pain and swelling as a primary manifestation of
antiphospholipid (Hughes) syndrome. CASE PRESENTATION: A 44-year-old male with no
significant past medical history presented with a 1-week duration of right-sided
painful neck swelling. Duplex ultrasound and computed tomography angiogram
revealed right IJV thrombosis. Hematology studies were normal apart from positive
lupus anticoagulant. The patient was managed conservatively with low molecular
weight heparin, antibiotics, and close follow-up. CONCLUSION: Acute spontaneous
IJV thrombosis as a primary presentation of antiphospholipid syndrome is
extremely uncommon. We should be aware of the possibility of this condition in
the differential diagnosis and management, as long-term anticoagulation is
needed.