PDF(Pubmed)
Abstract：
Internal jugular vein (IJV) thrombosis is associated with several etiologies. Trauma is a rarely recorded causative factor. This case presents one such example of how trauma causes IJV thrombosis. A middle-aged woman presented to the general medicine outpatient department with complaints of pain in the base of the left side of the neck and swelling of the left arm and neck for six days. The symptoms had occurred following a trivial trauma to the left side of the neck due to pressure from a 25 L water can. Before the patient came to our hospital, she went to a local clinic, where magnetic resonance imaging was done and showed findings suspicious of thrombosis in her left IJV with extension into adjacent veins. A venous Doppler confirmed the findings. The patient was then treated conservatively with low-molecular-weight heparin, muscle relaxants, and antibiotics. Although uncommon, vascular injuries should also be thought of following minor trauma and not just musculoskeletal events. This case report proposes that IJV thrombosis can also occur without the classical etiological factors.
摘要：
颈内静脉（IJV）血栓形成与多种病因有关。创伤是一个很少记录的致病因素。该病例提供了创伤如何导致IJV血栓形成的一个例子。一名中年妇女出现在普通医学门诊，抱怨颈部左侧底部疼痛，左臂和颈部肿胀六天。由于25L水罐的压力，颈部左侧受到轻微创伤，因此出现了症状。在病人来我们医院之前，她去了当地的诊所,进行了磁共振成像，发现可疑的左IJV血栓形成并延伸到相邻静脉。静脉多普勒证实了这一发现。然后患者接受低分子量肝素保守治疗，肌肉松弛剂,和抗生素。虽然不常见，血管损伤也应该被认为是轻微创伤后的损伤，而不仅仅是肌肉骨骼事件。该病例报告提出，IJV血栓形成也可以在没有经典病因的情况下发生。
