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DOI: 10.1055/s-2001-19657
© Georg Thieme Verlag Stuttgart · New York
Clavikulaluxation als seltene Ursache einer monströsen Vena jugularis interna-Thrombosierung
Luxation of the Clavicle as Rare Cause of Monstrous Thrombus Formation of the Internal Jugular VeinPublication History
Publication Date:
22 January 2002 (online)
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Zusammenfassung
Vorgestellt wird der Fall einer 55jährigen Patientin mit einer massiven schmerzlosen Schwellung der Halsweichteile rechts. Die operative Freilegung zeigte eine 7 cm breite thrombosierte Ektasie der V. jugularis interna bei retrosternaler Clavikulaluxation. Es erfolgte die Resektion der V. jugularis interna von der Schädelbasis bis zur oberen Thoraxapertur mit nachfolgendem komplikationslosen Verlauf.
Summary
A 55-year-old female with massive painless swelling of the right cervical soft tissue was admitted for surgical exploration. The operation revealed an ectasia of the internal jugular vein with a diameter up to 7 cm which was obliterated by thrombotic material. We discussed a retrosternal dislocation of the clavicle proved by chest X-ray. We resected the internal jugular vein from the basis of the skull to the upper thoracic aperture. The postoperative course was uneventful.
Schlüsselwörter
Vena jugularis interna - Ektasie - Thrombose - Differentialdiagnose
Key words
Internal jugular vein - Ectasia - Thrombosis - Differential diagnosis
Literatur
- 1 Asfazadourian H, Kouvalchouk J F. Retrosternal luxation of clavicle. Apropos of 4 cases surgically treated using a temporary screwed anterior plate and review of the literature. Ann Chir Main Meb Super. 1997; 16 152-169
- 2 Enzinger F M, Weiss S W. Soft tissue tumors. Mosby, St Louis, Baltimore, Berlin 1995: 2-755
- 3 Lassmann G. Vascular dysplasia of arteries in neurocristopathies: a lesson for neurofibromatosis. Neurofibromatosis. 1988; 1 281-293
- 4 Mazzucco A, Bortolotti U, Stellin G, Gallucci V. Anomalies of the systemic venous return: a review. J Card Surg. 1990; 5 122-133
- 5 Riede U N, Schaefer H E. Allgemeine und spezielle Pathologie. Thieme, Stuttgart, New York 1995; 461-463
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