Jugular vein thrombosis (JVT) is usually secondary to central venous catheterisation, distant malignancy, hyperkoagulable state or ovaria hyperstimulation syndrome. Spontaneous IJV thrombosis is an extremely rare entity.
A 61-year-old man presented with swelling of the right side of the face, an ultrasonographic scan showed thrombosis of right IJV, laboratory evaluation, which included oncomarkers, X-ray, CT scan and abdominal ultrasonographic examination to search for malignancy, was normal. The patient was heparinized by LMWH and then underwent anticoagulation with warfarin for 6 months.
One year later the patient is in good clinical condition and without malignancy. We discuss the etiology and the treatment of JVT.