Excision of internal jugular vein for catheter-related thrombophlebitis.
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.
Leon
Luis R
LR
Vascular Surgery, Loyola University Medical Center, Maywood, Illinois, USA. lleon@lumc.edu
Patel
Jateen
J
Labropoulos
Nicos
N
Rodriguez
Heron E
HE
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