Thrombosis of left Internal Jugular Vein in Nephrotic Syndrome in a child with congenital absence of right Internal Jugular Vein: An extremely rare presentation.
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 2
Abstract
There is a known association of nephrotic syndrome with hypercoagulable states and increased risk of thromboembolic complications. Internal jugular vein thrombosis is arare complication of nephrotic syndrome with only a few cases described in the literature. Moreover congenital absence of right internal jugular vein itself is very rare vascular anomaly of major venous channels. Here we report the case of a male child, 8 years old, a known case of steroid responsive nephrotic syndrome, presenting with extensive swelling of face, neck and abdomen. On cervical ultrasound completely occluding thrombosis of left internaljugular vein extending to left brachiocephalic vein was detected. On the right side, the absence of internal jugular vein was seen. A high index of suspicion and radiological investigations are needed for prompt diagnosis of this condition and also it should be kept in mind that any kind of anomalies can be seen during vascular interventions which can lead to various severe complications.
Authors and Affiliations
Deepak Rana*, Ramesh Chander**, Oshin Agrawal***, ****N. S. Neki
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