Abstract
We experienced a case of right internal jugular vein thrombosis following surgery for left mandibular gingival carcinoma and right thyroid gland carcinoma. The patient was a 66-year-old male and consulted our department for left mandibular gingival carcinom. He underwent surgical resection of the gingiva and marginal resection of the mandible, resection of the right thyroid gland and neck dissection with preservation of the right internal jugular vein. He had atelectasis, prior to awaking from general anesthesia, therefore he was transferred to the intensive care unit for observation and care. Since metastasis to the submandibular lymph nodes was identified in the postoperative pathologic examination, we scheduled the patient to undergo additional left radical neck dissection. However, CT of the neck prior to surgery identified right internal jugular vein thrombosis. The surgery was postponed and he underwent thrombolytic therapy. After we confirmed that the thrombus had resolved completely, he underwent left radical neck dissection. He was administered preventive anticoagulant therapy from the day following surgery for 11 days. He underwent postoperative radiation therapy totaling 63Gy and received 3 adjuvant chemotherapies with CDDP+5-FU. We herein report a case with internal jugular vein thrombosis.
