Abstract
A case of internal jugular vein thrombosis (IJVT) in a 73-year-old female is reported. The patient complained of left neck pain, left otalgia and fever for the past several days. On physical examination, the patient presented tenderness on the sternocleidomastoid muscle and a large perforated eardrum with purulent discharge. A CT study of the head and neck revealed a left internal jugular vein thrombosis. On contrast CT, the thrombosed vein appeared as an enlarged vein containing a low density lumen surrounded by sharply defined walls. The CT finding of IJVT was confirmed by IV-DSA (intravenous digital subtraction angiography). IV-DSA demonstrated a left jugular and sigmoid sinus thrombosis. The patient was successfully treated with antibiotics alone and discharged on the 30 th hospital day in good condition.
