Internal jugular vein thrombosis secondary to a permanent cardiac pacemaker: an unusual case of lateral neck swelling.
OBJECTIVE
To describe an unusual case of lateral neck swelling in a patient with a permanent cardiac pacemaker.


METHODS
We describe a patient who presented with a painful, lateral neck swelling due to an internal jugular vein thrombus. This thrombus originated from around pacemaker wires in the subclavian vein. This case is unusual, as the vast majority of thromboses in patients with cardiac pacemakers are found in the subclavian vein alone. We also review the literature on the relationship between cardiac pacemakers and internal jugular vein thrombosis, and on the management of the latter.


CONCLUSIONS
Our patient illustrates a rare cause of a painful, lateral neck swelling: an internal jugular vein thrombus secondary to a cardiac pacemaker. Clinicians should be wary of such pathology in similar patients, in order to ensure early treatment and avoidance of complications.
Department of ENT, Luton and Dunstable Hospital Foundation Trust, UK.
C S
CS
Arhi
M A
MA
Buchanan
S A
SA
Allen
J
J
Pickles
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D007601:Jugular Veins; D009333:Neck; D019547:Neck Pain / Q000209:etiology; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013350:Subclavian Vein; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000188:drug therapy / Q000209:etiology*