Traumatic jugular vein thrombosis

Case contributed by Marta Guillén Garcia
Diagnosis almost certain

Presentation

Victim of assault with head trauma and incised-contused wound at the anterior cervical level.

Patient Data

Age: 40 years
Gender: Female

Large hematoma in the left anterior/supraclavicular region with contusional involvement of adjacent soft tissues, and mild trabeculation of fat in the ipsilateral carotid space, consistent with known penetrating trauma. Additionally, there is approximately a 2.5 cm opacification defect along the proximal segment of the left internal jugular vein, likely indicative, given the clinical context, of traumatic jugular thrombosis.

Case Discussion

There are multiple causes of internal jugular vein thrombosis, primarily iatrogenic, neoplastic, and infectious. Traumatic cause due to blunt and/or penetrating mechanism is very rare. Therefore, it is crucial to consider the clinical history and context for an appropriate differential diagnosis.

This case is submitted in collaboration with Dr. Jaldo and Dr. Roset. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.