Document Detail

Need for an urgent ultrasound examination for neck lump.
MedLine Citation:
PMID:  16652099     Owner:  NLM     Status:  MEDLINE    
Thromboembolic phenomenon is rare but serious consequence of ovarian hyperstimulation syndrome (OHSS) and in vitro fertilization (IVF) treatment. We present a case of thrombosis of the right internal jugular vein presenting as a neck lump to the ENT department. Ultrasonography of the neck and upper extremity revealed thrombosis of right internal jugular vein. The patient was started on low molecular weight heparin, which resulted in resolution of her clinical condition. Interestingly, the majority of cases after OHSS involve thrombosis of the upper extremities. ENT surgeons, general physicians, and infertility experts should consider this in the differential diagnosis of neck swellings, particularly after OHSS and IVF treatment, and in this case report, we emphasis the need for an urgent ultrasound of the neck in such patients.
Apurv Sinha; Apostolos Karkanevatos; Ramasamy Saravanan; Christopher Lowe; Paul Dodds
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  116     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-06-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  833-4     Citation Subset:  IM    
Department of Otolaryngology, Leighton Hospital Crewe, Chesire United Kingdom.
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MeSH Terms
Early Diagnosis
Fertilization in Vitro / adverse effects*,  methods
Follow-Up Studies
Heparin, Low-Molecular-Weight / therapeutic use
Jugular Veins*
Needs Assessment
Pregnancy Complications, Cardiovascular / ultrasonography*
Pregnancy Outcome
Pregnancy Trimester, First
Risk Assessment
Ultrasonography, Doppler
Venous Thrombosis / drug therapy,  etiology,  ultrasonography*
Reg. No./Substance:
0/Heparin, Low-Molecular-Weight

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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