The internal jugular
vein had been cut through, with such violence, judging by the appearances, that the wound could not have been inflicted, in the act of suicide, by the hand of the deceased person.
Furthermore, the physical examination of the patient revealed no abnormalities apart from the nodule, which was a filling defect in the left internal jugular
vein under the contrast computed tomographic scan, while computed tomography angiography of the neck vascular system showed benign lesions within the left jugular vein [Figure 1]a,[Figure 1]b,[Figure 1]c.
A bedside compression venous ultrasound of the right upper extremity that included the brachial veins, the axillary vein, the subclavian vein, and the internal jugular
vein was performed revealing a distended, incompressible right subclavian vein which contained a visible intraluminal thrombus.
Through a small catheter in my internal jugular
, x-ray guided venography was used to find the offending veins.
Pseudoaneurysm formation in the neck is a well-documented phenomenon after penetrating or blunt trauma to arteries, with most reported cases occurring in the carotids and usually preceded by internal jugular
Axial ultrasound images of patient revealing presence of intraluminal calcification (arrow) at level of bifurcation of left common carotid artery (a) without and (b) SCM: Sternocleidomastoid muscle; ICA: Internal carotid artery; ECA: External carotid artery; V: Internal jugular
Comparatively, the reported stenosis rates with internal jugular
and subclavian vein catheters are 10%  and 20 - 50%, [9-11] respectively.
Multiple hypoechogenic lesions resembling the internal jugular
vein and internal carotid artery were visualised and could be differentiated from the vessels by Doppler ultrasound.
Placement of central venous catheters via the right internal jugular
vein has become one of the most popular routes.
All catheters were non-tunneled and were placed in either the internal jugular
or subclavian vein.
1) Here we report our experience with an injury to the left internal jugular
vein by a crossbow bolt.
Keywords: Lemierre's syndrome, Internal jugular
vein thrombosis, Gram negative septicemia, necrobiosisfusodobacterium, Forgotten disease.