Internal Jugular Vein Thrombosis Caused by Endoscopy. A Case Report
| Autor: | Noriyuki Hoya, Kazuhiro Hashigucci, Maki Yokoyama |
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| Rok vydání: | 1999 |
| Předmět: | |
| Zdroj: | Practica Oto-Rhino-Laryngologica. 92:1019-1023 |
| ISSN: | 1884-4545 0032-6313 |
| Popis: | A 71-year-old male with diabetes underwent endoscopy to examine the cause of iron deficiency anemia in the department of internal medicine at our hospital. He had difficulty swallowing the endoscope due to pharyngeal reflex, but succeeded it after several insertions. A few days after the examination, nausea, anorexia, and submaxillary pain developed, however, he did not return to the hospital or receive any medical treatment. He returned to our hospital 25 days after the endoscopy, complaining of ingestion difficulty with a tender swelling in the left side of the neck. Increased leukocytes showed a marked inflammatory response. The patient was therefore admitted with suspected acute infectious disease. We detected Streptococcus intermedius by venous blood sampling, and diagnosed left internal jugular vein thrombosis after plain CT and ultrasound imaging. Since the neck swelling and tenderness improved following intravenous administration of antibiotics, he was discharged after 24 days of medication. Follow-up examination by MRI and ultrasonography, no revealed blood flow in the left internal jugular vein. It was considered that the thrombus in the vein had already been organized. We concluded that injury of the hypopharynx by endoscopy may cause internal jugular vein thrombosis. |
| Databáze: | OpenAIRE |
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