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Case Reports
, 3 (3), 146-148

External Jugular Vein Thrombosis Secondary to Deep Tissue Neck Massage

Case Reports

External Jugular Vein Thrombosis Secondary to Deep Tissue Neck Massage

Sneha Raju et al. J Vasc Surg Cases Innov Tech.


An 85-year-old man presented with an acute asymptomatic lateral neck mass in the context of deep tissue neck massages during the past year. He was referred to vascular surgery after an ultrasound examination of the neck revealed a thrombus in the external jugular vein. His past medical history and comorbidities were noncontributory. A multidisciplinary team of vascular surgeons and hematologists did not recommend any anticoagulation, given that the patient did not have any risk factors for thrombosis as well as normal D-dimer levels. The patient was maintained on his previous dose of aspirin (81 mg daily).


Fig 1
Fig 1
Left anterior neck triangle with 90-degree neck rotation to the right. There is a 2.3 × 1.1-cm soft, subcutaneous nonpulsatile mass at the base of the anterior triangle of the left side of the neck.
Fig 2
Fig 2
Ultrasound examination of the superficial left anterior neck triangle revealing a fusiform dilation of the external jugular (EJ) vein measuring 2.3 × 1.5 × 1.1 cm, with occlusion.
Fig 3
Fig 3
Coronal (A) and axial (B) computed tomography angiograms demonstrating a 1.6 × 1.5-cm spherical mass contiguous with the external jugular (EJ) vein (white arrow).

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  • Idiopathic External Jugular Vein Thrombosis.
    Villanueva CT, Ruiz JR. Villanueva CT, et al. Eur J Case Rep Intern Med. 2019 Mar 6;6(3):001058. doi: 10.12890/2019_001058. eCollection 2019. Eur J Case Rep Intern Med. 2019. PMID: 30931278 Free PMC article.


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