Analysis of a First Unilateral and Then Bilateral Internal Jugular Vein Thrombosis in a Heroin User

Dmytro S. Borodavkoa, ... Olha S. Cherniake more
a Dmytro S. Borodavko

Vascular Surgeon, Department of Vascular Surgery, Kyiv Regional Clinical Hospital, Kyiv, Ukraine.

b Artem V. Abramenko

Head, Department of Vascular Surgery, Kyiv Regional Clinical Hospital, Kyiv, Ukraine.

c Ievgen I. Fesenko

PhD, Assistant Professor. Department of Oral & Maxillofacial Surgery, Private Higher Educational Establishment “Kyiv Medical University”, Kyiv, Ukraine (current position). Center of Maxillofacial Surgery, Kyiv Regional Clinical Hospital, Kyiv, Ukraine (place of work at moment of article preparing). E-mail of the co-author: i.i.fesenko@dtjournal.org

d Stepan P. Borodavko

Vascular Surgeon, Department of Vascular Surgery, Kyiv Regional Clinical Hospital, Kyiv, Ukraine.

e Olha S. Cherniak

Head, Department of Ultrasound, Regional Diagnostic Center, Kyiv Regional Clinical Hospital, Kyiv, Ukraine. Corresponding author address: 1 Bahhovutivska Street, Kyiv 04107, Ukraine. Department of Ultrasound, Regional Diagnostic Center, Kyiv Regional Clinical Hospital. E-mail: cherniak.os@gmail.com

October 31, 2019

https://doi.org/10.23999/j.dtomp.2019.10.2

J Diagn Treat Oral Maxillofac Pathol 2019;3:234−55.

Under a Creative Commons license

How to cite this article

Borodavko DS, Abramenko AV, Borodavko SP, Cherniak OS, Fesenko II. Analysis of a first unilateral and then bilateral internal jugular vein thrombosis in a heroin user. J Diagn Treat Oral Maxillofac Pathol 2019;3(10):234−55.

Summary

This report documents a first unilateral and then bilateral internal jugular vein (IJV) thrombosis as a result of repeated injections of heroin, which is rare in a practice of oral and maxillofacial surgeon. The patient was a 21-year-old male who was referred to a hospital with the diagnosis of phlegmon of the right neck. Emergency non-contrast computed tomography (5 images and 1 Supplemental Video are presented) revealed a hyperattenuating content in the lumen of expanded right IJV which fills its entire length. The patient received initial treatment according to the protocol. Ultrasound (US) (2 images and 2 Supplemental Videos are presented) in a first 24 hours supported the diagnosis describing a case as occlusive acute thrombosis. After 4 days of a positive dynamic the patient was transferred to outpatient mode. In a 10 day US examination (2 images and 2 Supplemental Videos are presented) simultaneously with positive changes in the lumen of a right IJV (partial clot lysis) an appearance of a left IJV thrombosis was noted. Analysis of thrombotic conditions of the neck, diagnostics methods, treatment options, and complications are performed.