Document Detail

Syncopal episode as the presenting symptom of jugular vein thrombosis in pregnancy: a case report.
MedLine Citation:
PMID:  17694974     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Jugular vein thrombosis has been reported to occur in pregnant women who conceived with assisted reproductive technology (ART). CASE: A 28-year-old woman at 17 weeks' gestation presented to the emergency room with a syncopal episode. She reported no arm pain or swelling, no neck pain or swelling, and no dyspnea or difficulty swallowing. Doppler sonography of the neck vasculature revealed acute bilateral internal jugular vein thromboses. Thrombophilia workup was normal. Intravenous anticoagulation with heparin was initiated, and the patient was discharged on low-molecular-weight heparin. CONCLUSION: Though rare, jugular vein thrombosis should be considered in the differential diagnosis of syncopal episodes even in women who conceive without ART.
Zaher O Merhi; Shoshana Haberman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-08-14     Completed Date:  2007-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  535-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Maimonides Medical Center, 967 48th Street, Brooklyn, NY 11219, USA.
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MeSH Terms
Diagnosis, Differential
Heparin, Low-Molecular-Weight / therapeutic use
Jugular Veins / pathology*
Pregnancy Complications, Hematologic / diagnosis*
Syncope / etiology*
Venous Thrombosis / complications,  diagnosis*,  therapy
Reg. No./Substance:
0/Heparin, Low-Molecular-Weight

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