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.

Internal jugular vein blowout complicating head and neck surgery

1994 ◽  
Vol 108 (5) ◽  
pp. 423-425 ◽  
Author(s):  
Conrad V. I. Timon ◽  
Dale Brown ◽  
Patrick Gullane
Keyword(s):  
Head And Neck ◽  
Jugular Vein ◽  
Toronto General Hospital ◽  
Primary Tumour ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Cutaneous Fistula ◽  
Life Threatening ◽  
Functional Neck Dissection ◽  
Carotid Arterial

AbstractInternal jugular venous rupture after head and neck surgery is a rare but important condition to recognize. The Toronto General Hospital experience of this condition, together with its identification and management is reported.Jugular vein rupture should be considered in patients undergoing primary tumour excision with modified or functional neck dissection complicated by a pharyngo-cutaneous fistula. Typically, bleeding is venous and occurs repeatedly. However, haemorrhage may be substantial and life-threatening. Treatment requires exploration and ligation of the venous system. The carotid artery should be assessed and protected at surgery, since there is a likelihood of a carotid blowout as the conditions have a common aetiology. It is important to distinguish jugular vein haemorrhage from carotid arterial rupture, since the former has a far better outcome if treated properly.

scholarly journals Surgical review of the anatomical variations of the internal jugular vein: an update for head and neck surgeons

2019 ◽  
Vol 101 (1) ◽  
pp. 2-6 ◽  
Author(s):  
S Mumtaz ◽  
M Singh
Keyword(s):  
Head And Neck ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Case Reports ◽  
Anatomical Variations ◽  
Neck Surgery ◽  
Extensive Review ◽  
Patient Cohort ◽  
Important Landmark

Background The internal jugular vein is one of the major vessels of the neck. The anatomy of this vessel is considered to be relatively stable. It is an important landmark for head and neck surgeons as well as the anaesthetists for both diagnostic and therapeutic purposes. Methods We present two case reports of the posterior tributary of the internal jugular vein and review the surgical literature regarding anatomical variations of the vein. Findings A total of 1197 patients from 27 published papers were included in this review. Of these patients, 99.6% had neck surgery and the rest were cadaveric dissections. Anatomical variations of the internal jugular vein were found in 2% of the patient cohort (n = 40). The majority of these patients had either bifurcation or fenestration of the vein. The posterior tributary of the internal jugular vein is unusual and is scarcely reported in the literature (three cases). Knowledge of variations in the anatomy of the internal jugular vein assists surgeons in avoiding complications during neck surgery and preventing morbidity. Two rare cases of posterior branching of the internal jugular vein and experience of other surgeons are demonstrated in this extensive review.

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.

Internal jugular vein thrombosis: an uncommon presentation

Vascular ◽  
2013 ◽  
Vol 21 (4) ◽  
pp. 267-269 ◽  
Author(s):  
Sachin Mittal ◽  
Pradeep Garg ◽  
Surender Verma ◽  
Sandeep Bhoriwal ◽  
Sourabh Aggarwal
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Color Doppler ◽  
Venous Catheter ◽  
Neck Surgery ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Uncommon Presentation ◽  
Internal Jugular Vein Thrombosis

Internal jugular vein (IJV) thrombosis is a rare entity. It is usually secondary to various etiologies such as ovarian hyperstimulation, deep vein thrombosis of upper limbs, venous catheter, malignancy, trauma, infection, and neck surgery and hypercoagulable status. We report an unusual case of internal jugular vein thrombosis with cerebral sinus thrombosis, postpartum in a 22-year-old female patient who presented with a painful swelling on the left side of her neck. Diagnosis was established by color Doppler ultrasonography and magnetic resonance venography. Thorough evaluation of the patient revealed no etiological factor leading to thrombosis. Patient was treated with low-molecular-weight heparin.

Acute airway obstruction due to ruptured aneurysmal arterio–venous fistula: common carotid artery to internal jugular vein

1995 ◽  
Vol 109 (6) ◽  
pp. 562-564 ◽  
Author(s):  
V. Nandapalan ◽  
D. G. O'Sullivan ◽  
M. Siodlak ◽  
P. Charters
Keyword(s):  
Carotid Artery ◽  
Airway Obstruction ◽  
Head And Neck ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Upper Airway ◽  
Neck Region ◽  
External Carotid Artery ◽  
External Carotid ◽  
Acute Airway Obstruction

AbstractFistulae between major vessels in the head and neck are uncommon. In both civilian and wartime reports, the total number of traumatic arterio–venous fistulae in head and neck region account for less than four per cent of all arterial injuries. Fourteen cases of congenital communication between the external carotid artery and external or internal jugular vein have been reported. We report and discuss the management of a case of ruptured carotico–jugular fistula secondary to infection which presented as acute upper airway obstruction. This appears to be the first description of such a case in the literature.

scholarly journals Disappearance of Internal Jugular Vein Thrombosis After Use of Edoxaban Following Head and Neck Reconstruction: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Masahiro Sasaki ◽  
Yoichiro Shibuya ◽  
Akio Nishijima ◽  
Junya Oshima ◽  
Kaoru Sasaki ◽  
...  
Keyword(s):  
Head And Neck ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Bleeding Complications ◽  
Head And Neck Reconstruction ◽  
Free Flap Reconstruction ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Neck Reconstruction ◽  
Internal Jugular Vein Thrombosis

Internal jugular vein thrombosis (IJVT) is a complication of neck dissection. After head and neck reconstruction, flap congestion due to IJVT may lead to flap necrosis, and early diagnosis and treatment should be considered. We experienced a case of disappearance of IJVT in which edoxaban was administered after free-flap reconstruction, and the entire flap survived. Edoxaban has few bleeding complications and was useful as a single drug approach for IJVT after head and neck reconstruction.

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

Utility of negative‐pressure wound therapy for orocutaneous and pharyngocutaneous fistula following head and neck surgery

Head & Neck ◽  
2019 ◽  
Vol 42 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Yusuke Inatomi ◽  
Hideki Kadota ◽  
Sei Yoshida ◽  
Kenichi Kamizono ◽  
Ryo Shimamoto ◽  
...  
Keyword(s):  
Head And Neck ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Pharyngocutaneous Fistula ◽  
Wound Therapy

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.

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