Disruption of the internal jugular vein by subcutaneous emphysema

BMJ Case Rep. 2023 Dec 30;16(12):e253066. doi: 10.1136/bcr-2022-253066.

Abstract

A woman in her 80s was taken to the hospital after falling off a ladder and underwent a contrast-enhanced CT scan, which revealed disruption of the contrast effect in the right internal jugular vein, with multiple rib fractures and haemopneumothorax. Following reduction of the subcutaneous emphysema with treatment, the diameter of her right internal jugular vein enlarged over time, becoming equal to that on the contralateral side. It is important to diagnose compression of the internal jugular vein due to subcutaneous emphysema, because the treatment strategy varies according to the aetiology.

Keywords: Radiology; Trauma; Ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Female
  • Humans
  • Jugular Veins* / diagnostic imaging
  • Pressure
  • Subcutaneous Emphysema* / diagnostic imaging
  • Subcutaneous Emphysema* / etiology
  • Tomography, X-Ray Computed