Abstract
Introduction: Superior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities. We describe a case in which superior ophthalmic vein thrombosis occurred shortly after severe facial trauma. Case presentation: A 77-year-old Japanese man was transferred to our tertiary hospital after a motor vehicle accident. Le Fort III facial bone fractures and a minor cerebral contusion were detected. Follow-up computed tomography scans detected dilatation of his left superior ophthalmic vein on day 3 and thrombosis on day 12; however, no causative carotid cavernous fistula was observed. As he did not present with any symptoms other than slight conjunctival congestion, a conservative management strategy was adopted along with anticoagulant therapy against deep venous thrombosis. The superior ophthalmic vein thrombosis resolved spontaneously and the conjunctival congestion also improved. Conclusions: Superior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities.
| Original language | English |
|---|---|
| Article number | 244 |
| Journal | Journal of Medical Case Reports |
| Volume | 9 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Oct 30 2015 |
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Keywords
- Carotid cavernous fistula
- Facial trauma
- Superior ophthalmic vein thrombosis
ASJC Scopus subject areas
- Medicine(all)
Cite this
Superior ophthalmic vein thrombosis associated with severe facial trauma : A case report. / Mishima, Momoko; Yumoto, Tetsuya; Hashimoto, Hiroaki; Yasuhara, Takao; Iida, Atsuyoshi; Tsukahara, Kohei; Sato, Keiji; Ugawa, Toyomu; Otsuka, Fumio; Ujike, Yoshihito.
In: Journal of Medical Case Reports, Vol. 9, No. 1, 244, 30.10.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Superior ophthalmic vein thrombosis associated with severe facial trauma
T2 - A case report
AU - Mishima, Momoko
AU - Yumoto, Tetsuya
AU - Hashimoto, Hiroaki
AU - Yasuhara, Takao
AU - Iida, Atsuyoshi
AU - Tsukahara, Kohei
AU - Sato, Keiji
AU - Ugawa, Toyomu
AU - Otsuka, Fumio
AU - Ujike, Yoshihito
PY - 2015/10/30
Y1 - 2015/10/30
N2 - Introduction: Superior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities. We describe a case in which superior ophthalmic vein thrombosis occurred shortly after severe facial trauma. Case presentation: A 77-year-old Japanese man was transferred to our tertiary hospital after a motor vehicle accident. Le Fort III facial bone fractures and a minor cerebral contusion were detected. Follow-up computed tomography scans detected dilatation of his left superior ophthalmic vein on day 3 and thrombosis on day 12; however, no causative carotid cavernous fistula was observed. As he did not present with any symptoms other than slight conjunctival congestion, a conservative management strategy was adopted along with anticoagulant therapy against deep venous thrombosis. The superior ophthalmic vein thrombosis resolved spontaneously and the conjunctival congestion also improved. Conclusions: Superior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities.
AB - Introduction: Superior ophthalmic vein thrombosis is a rare entity, but is associated with significant morbidities. We describe a case in which superior ophthalmic vein thrombosis occurred shortly after severe facial trauma. Case presentation: A 77-year-old Japanese man was transferred to our tertiary hospital after a motor vehicle accident. Le Fort III facial bone fractures and a minor cerebral contusion were detected. Follow-up computed tomography scans detected dilatation of his left superior ophthalmic vein on day 3 and thrombosis on day 12; however, no causative carotid cavernous fistula was observed. As he did not present with any symptoms other than slight conjunctival congestion, a conservative management strategy was adopted along with anticoagulant therapy against deep venous thrombosis. The superior ophthalmic vein thrombosis resolved spontaneously and the conjunctival congestion also improved. Conclusions: Superior ophthalmic vein thrombosis should be taken into consideration and managed properly after severe facial injuries, and further investigation of its cause is necessary to prevent morbidities.
KW - Carotid cavernous fistula
KW - Facial trauma
KW - Superior ophthalmic vein thrombosis
UR - http://www.scopus.com/inward/record.url?scp=84945961114&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84945961114&partnerID=8YFLogxK
U2 - 10.1186/s13256-015-0737-y
DO - 10.1186/s13256-015-0737-y
M3 - Article
C2 - 26514430
AN - SCOPUS:84945961114
VL - 9
JO - Journal of Medical Case Reports
JF - Journal of Medical Case Reports
SN - 1752-1947
IS - 1
M1 - 244
ER -