Key result
Moderate anticoagulation therapy with intravenous heparin successfully treated a rare case of pulmonary embolism caused by non-catheter-related internal jugular vein thrombosis.
Case Report (n=1)
This case highlights the rare occurrence of non-catheter-related internal jugular vein thrombosis leading to recurrent pulmonary embolism despite anticoagulation.
May support heparin in rare non-catheter IJV thrombosis with PE; leaves open optimal regimen and prospective validation.
A 65-year-old man who had undergone retropubic prostatectomy for prostate adenocarcinoma presented with sudden dyspnea and chest pain. Contrast-enhanced multi-slice computed tomography (MSCT) revealed thrombi in the left internal jugular vein (IJV) and in branches of the right pulmonary artery. Ultrasonography showed that the thrombus which occluded the left IJV was hypoechoic and mobile. After beginning anticoagulant therapy, he again presented with dyspnea and transient hypotension. MSCT and ultrasonography showed that the IJV thrombus had moved and caused a new embolism of the left pulmonary artery branch. This is a rare case of a patient who experienced non-catheter-related thrombosis of the IJV.
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Naganuma et al. (2009) conducted a case report in Pulmonary embolism due to internal jugular vein thrombosis (n=1). Anticoagulant therapy (heparin) was evaluated on Clinical recovery. Moderate anticoagulation therapy with intravenous heparin successfully treated a rare case of pulmonary embolism caused by non-catheter-related internal jugular vein thrombosis.
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