Multiple myeloma and hypercoagulability leading to internal jugular vein thrombosis in a dialysis patient.
A 68-year-old male patient with end-stage renal failure on maintenance hemodialysis using a right internal jugular dual-lumen catheter developed thrombosis of the internal jugular vein with extension into the superior vena cava after removal of the catheter. As he developed a lower backache with MRI finding of disease of the D11 and D12 vertebrae, a bone biopsy performed showed multiple myeloma. Anticoagulant therapy led to recanalization of the thrombosed veins.
Pratap
Balaji
B
Department of Medicine, Sri Ramachandra Medical College and Research Institute, Chennai, India.
Gupta
Punit
P
Kumar
Praveen
P
Abraham
Georgi
G
Santhanam
Ramalakshmi
R
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D002404:Catheterization; D003956:Dialysis; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D009101:Multiple Myeloma / Q000150:complications* / Q000175:diagnosis*; D019851:Thrombophilia / Q000209:etiology; D020246:Venous Thrombosis / Q000209:etiology*
D000925:Anticoagulants