title: Excision of internal jugular vein for catheter-related thrombophlebitis.
abstract: This report describes a case of internal jugular vein (IJV) thrombophlebitis refractory to intravenous (IV) antibiotics and anticoagulation managed with ligation and excision of the vein. Our patient was immunosuppressed for a transplanted organ and developed a catheter-related infection following major pelvic surgery. His symptoms worsened, and failure of medical management prompted operative intervention. Excision of the inflamed, thrombosed vein led to complete resolution of his symptoms.
authors.affiliation: Vascular Surgery, Loyola University Medical Center, Maywood, Illinois, USA. lleon@lumc.edu
authors.forename: Luis R
authors.initials: LR
authors.lastname: Leon
authors.forename: Jateen
authors.initials: J
authors.lastname: Patel
authors.forename: Nicos
authors.initials: N
authors.lastname: Labropoulos
authors.forename: Heron E
authors.initials: HE
authors.lastname: Rodriguez
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014463:Ultrasonography