Pulmonary embolism due to internal jugular vein thrombosis without an indwelling catheter.
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.
Naganuma
Toru
T
Department of Cardiology, Hiroshima City Asa Hospital, Hiroshima. t-naganu@asa-hosp.city.hiroshima.jp
Dote
Keigo
K
Kato
Masaya
M
Sasaki
Shota
S
Ueda
Kentaro
K
Kono
Yasuyuki
Y
Watanabe
Yoshikazu
Y
Kajikawa
Masato
M
Yokoyama
Haruko
H
D000368:Aged; D002408:Catheters, Indwelling; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007601:Jugular Veins; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging