Internal Jugular Vein Embolization to Control Life-Threatening Hemorrhage after Penetrating Neck Trauma

2018 ◽  
Vol 29 (3) ◽  
pp. 435-437 ◽  
Author(s):  
Adam J. Yen ◽  
Miles B. Conrad ◽  
Patricia A. Loftus ◽  
Vishal Kumar ◽  
Sujal M. Nanavati ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Neck Trauma ◽  
Penetrating Neck Trauma ◽  
Life Threatening

Lemierre Syndrome: Not So Forgotten!

2014 ◽  
Vol 23 (2) ◽  
pp. 176-179 ◽  
Author(s):  
Nishant Gupta ◽  
Stephen M. Kralovic ◽  
Dennis McGraw
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Lymphatic Vessels ◽  
Fusobacterium Necrophorum ◽  
Septic Thrombophlebitis ◽  
Lemierre Syndrome ◽  
Travel History ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Bedside Ultrasonography

Lemierre syndrome is a rare and life-threatening illness. Often referred to as “the forgotten disease,” its incidence is reported to be as low as 1 in a million. The microorganism responsible for Lemierre syndrome is typically Fusobacterium necrophorum. The bacterium starts in the pharynx and peritonsillar tissue, then disseminates through lymphatic vessels. Severe sepsis rapidly develops, as does the hallmark of this syndrome: septic thrombophlebitis of the internal jugular vein. This report describes a case of Lemierre syndrome in a previously healthy 26-year-old man with life-threatening internal jugular vein thrombophlebitis following 2 weeks of an indolent course of pharyngitis. The patient’s initial presentation and extensive travel history as an Army veteran were particularly challenging aspects in establishing his diagnosis. The diagnosis of Lemierre syndrome is frequently delayed. Routine use of bedside ultrasonography may aid in rapid diagnosis of the disease.

Utility of blind percutaneous jugular venous cannulation in resource-limited settings

2016 ◽  
Vol 18 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Opeyemi Komolafe ◽  
Olalekan Olatise
Keyword(s):  
Internal Jugular Vein ◽  
Vascular Access ◽  
Jugular Vein ◽  
Resource Limited Settings ◽  
Percutaneous Puncture ◽  
Image Guided ◽  
Vascular Ultrasound ◽  
Resource Limited ◽  
Life Threatening ◽  
The Right

Background For the nephrologist practicing in resource-limited settings, vascular ultrasound is often unavailable; consequently, blind percutaneous puncture of large veins is often employed to establish vascular access for hemodialysis. Methods To examine the efficacy and safety of this approach we evaluated 53 consecutive patients in whom central vascular access was required. The vascular access route utilized was primarily the right internal jugular vein. In the majority of cases, the indication for central vascular access was hemodialysis. Results The average number of needle passes required to obtain vascular access was 1.6 for the patient population studied. A total of 90.6% of the patients required ≤2 needle passes during cannulation. Complication rate for the blind approach was low (7.6%) and no serious or life-threatening complications occurred. Conclusions Our findings suggest that blind percutaneous puncture of the internal jugular vein by trained hands is a relatively safe and effective approach for establishing vascular access for hemodialysis in resource-limited settings. Nevertheless, wherever vascular ultrasound is available, it should be primarily utilized because of the documented advantages of image-guided insertion. Keeping in view the risk of serious peri-procedural complications which include death, the emphasis on image-guided insertion, is appropriate, particularly, in non-emergent situations.

scholarly journals A rare case of internal jugular vein aneurysmal degeneration in a type 1 neurofibromatosis complicated by potentially life-threatening thrombosis

2011 ◽  
Vol 54 (4) ◽  
pp. 1170-1173 ◽  
Author(s):  
Mirko Belcastro ◽  
Andrea Palleschi ◽  
Riccardo A. Trovato ◽  
Ruggero Landini ◽  
Maurizio Di Bisceglie ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Rare Case ◽  
Jugular Vein ◽  
Type 1 Neurofibromatosis ◽  
Life Threatening

scholarly journals Internal jugular vein rupture after oncologic resections in the head and neck

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Ahmad M. Eltelety ◽  
Ahmed A. Nassar ◽  
Ahmed M. El Batawi ◽  
Sherif G. Ibrahim
Keyword(s):  
Head And Neck ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Neck Surgery ◽  
Pharyngocutaneous Fistula ◽  
Regional Flap ◽  
Life Threatening ◽  
Primary Radiotherapy ◽  
Ablative Procedures ◽  
Preventable Complication

Abstract Background Internal jugular vein (IJV) blowout after major oncologic resections in the head and neck is a rare fatal yet preventable complication. The condition is unregistered sufficiently in the literature. Results The records of patients who underwent oncologic neck surgery were retrospectively reviewed. The study included records between January 2014 and November 2019 at Kasr Al Ainy Educational Hospital. 275 patients underwent cervical ablative procedures. Ten patients developed IJV blowout. Six patients were saved. Four patients had diabetes mellitus with postoperative wound infection and dehiscence. Three patients were given primary radiotherapy; two of them developed flap necrosis. Eight patients acquired pharyngocutaneous fistula (PCF). Regional flap coverage was done in three patients. Sentinel hemorrhage occurred in all patients. Conclusions IJV blowout is a rare potentially life-threatening complication usually preceded by sentinel hemorrhage. The condition is essentially preventable by the prompt and structured response.

scholarly journals Complicated emergent endovascular repair of a life-threatening bilateral internal jugular vein occlusion

2000 ◽  
Vol 32 (2) ◽  
pp. 397-401 ◽  
Author(s):  
Stephanie Kwei ◽  
Takao Ohki ◽  
Johnathan Beitler ◽  
Frank J. Veith
Keyword(s):  
Internal Jugular Vein ◽  
Endovascular Repair ◽  
Jugular Vein ◽  
Vein Occlusion ◽  
Life Threatening

Ultrasonographic diagnosis of catheter-induced combined subclavian and internal jugular vein thrombosis

1995 ◽  
Vol 4 (2) ◽  
pp. 140-142 ◽  
Author(s):  
O Abulafia ◽  
DM Sherer ◽  
TG DeEulis
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Central Vein ◽  
Jugular Vein Thrombosis ◽  
Widespread Application ◽  
Vein Thrombosis ◽  
Ultrasonographic Diagnosis ◽  
Internal Jugular Vein Thrombosis ◽  
Life Threatening ◽  
Bedside Diagnosis

Catheter-induced subclavian and internal jugular vein thrombosis in a patient with unresectable ovarian carcinoma was diagnosed by sonography following subtle clinical symptomatology. Ultrasonographic diagnosis of central vein thrombosis offers applicable, noninvasive bedside diagnosis. The case we describe suggests that a low threshold should be maintained for application of this technique in the diagnosis of this potentially life-threatening complication, especially with the current widespread application of invasive monitoring.

scholarly journals Mind the gap: life-threatening retropharyngeal haematoma resulting in acute airway obstruction following blunt trauma by closing train carriage doors

2021 ◽  
pp. 20200190
Author(s):  
Shaneil V Patel ◽  
Abbas Reza ◽  
Scott R Rice
Keyword(s):  
Airway Obstruction ◽  
Blunt Trauma ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Left Internal Jugular Vein ◽  
Significant Delay ◽  
Blunt Force Trauma ◽  
Venous Injury ◽  
Acute Airway Obstruction ◽  
Life Threatening

Delayed life-threatening airway obstruction due to venous injury following blunt, non-penetrative trauma to the neck. A rare case of rapid force, blunt trauma by closing train carriage doors, leading to injury to the left internal jugular vein, subsequent retropharyngeal haematoma and airway obstruction. There was a significant delay of a few hours between injury and acute deterioration. Initial dual Phase CT (unenhanced and arterial) studies identified the large retropharyngeal haematoma but the assessment of the source was inconclusive likely due to the venous injury becoming compressed by the swelling/haematoma at the time of investigation. Subsequent triple phase (unenhanced, arterial and venous) studies were performed identifying a flap in the left internal jugular vein as the likely site of vascular injury. A venous origin of haemorrhage supported the patients delayed onset of symptoms following the injury. We suggest with blunt force trauma to the neck, in the context of suspicion of haematoma and airway compromise, the radiologist should consider protocolling a triple phase (unenhanced, arterial and venous) angiographic study.

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