PRACTICA OTO-RHINO-LARYNGOLOGICA

Vol. 99  No. 12  December  2006

A Case of Internal Jugular Vein Thrombosis 
with Pulmonary Embolism

Koji Inagaki, Takayuki Iyoda and Junji Nakajima
(Sagamihara Kyodo Hospital)

    An 85-year-old male presented with a painful swelling in the right side of the neck. Contrast-enhanced CT showed thrombosis of the right internal jugular vein and pulmonary artery. The patient was treated with thrombolytic and anticoagulant therapy. After the therapy, the thrombus disappeared; however, there was no blood flow in the right internal jugular vein.
The cause of vein thrombosis was suggested to involve three factors: blood stagnation, hemal damage and hypercoagulability. However, there was no predisposing factor in this case except advanced age.
We suggest that advanced age should be included in the causes of idiopathic vein thrombosis.


Key words :internal jugular vein thrombosis, pulmonary embolism, thrombolytic therapy, anticoagulant therapy, aging

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