Angular Vein Thrombophlebitis—Report of a Case

Ferris, Kathryn

doi:10.1017/s0022215100061995

Cited by 4 publications

(3 citation statements)

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“…The compressibility of thromboses as angular vein thrombosis is likely seen proximal to the lesion due to the engorgement of the vein from the decreased outflow. Other important sources to consider include inflammatory and infectious etiologies such as thrombophlebitis [15] and Lemierre's syndrome [12], iatrogenic etiologies from previous surgeries (cosmetic filler injections), hypercoagulable and idiopathic causes, as well as nonvascular etiologies such as dacryocystitis, mucoceles, and malignancy. Angular vein thrombosis should be considered in patients presenting with a compressible tubular lesion in the nasojugal area.…”

Section: Discussionmentioning

confidence: 99%

“…Distinguishing angular vein thrombosis from thrombophlebitis and Lemierre's syndrome is crucial. Thrombophlebitis exhibits localized signs [15], such as orbital swelling, maxillary tenderness, and erythema, whereas Lemierre's syndrome is an infectious thrombophlebitis that involves the internal jugular vein with a respiratory infection origin [12]. Angular vein thrombosis, centered around the eye, brings forth aesthetic concerns and potential vision changes [1].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Atraumatic Angular Vein Thrombosis

Gajarla,

Davila,

Guiseppi

et al. 2024

Cureus

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Angular vein thrombosis is a rare vascular disorder marked by the occlusion of the angular vein by a blood clot. We report the case of a 70-year-old woman who presented with a visible bulge near her left nasojugal groove for one week and had no other associated symptoms or pertinent medical history. Subsequent maxillofacial CT scans with contrast revealed left angular vein thrombosis with dilation of the facial vein inferiorly. Despite its rarity, angular vein thrombosis poses a diagnostic challenge due to overlapping symptoms with other vascular and nonvascular pathologies. This case highlights the importance of early identification to prevent complications such as facial venous circulation obstruction and clot migration to the cavernous sinus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Atraumatic Angular Vein Thrombosis

Gajarla,

Davila,

Guiseppi

et al. 2024

Cureus

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“…The angular vein is the upper most segment of the facial vein, above its junction with the superior labial vein. Angular vein thrombophlebitis rarely may present as an acute swelling of the cheek 62 . Angular vein thrombophlebitis is an unusual and rare complication of PNS infection (Fig 9).…”

Section: Vascular Complicationsmentioning

confidence: 99%

Imaging of Paranasal Sinus Infections in Children: A Review

Orman

Kralik

Desai

et al. 2020

Journal of Neuroimaging

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Paranasal sinuses (PNS) infections are common in children. They may cause common and well-known complications, but also, unusual and potentially devastating complications. Diagnosing PNS infections and complications in children requires knowledge of the unique anatomy of the nasal cavity and the PNS. In fetal life, nasal mucosa evaginations into the lateral nasal walls initiate the development of the PNS. The PNS continue to develop after birth and complete their maturation and pneumatization at different ages during childhood which makes the pattern of PNS infections determined by patient age. Complications are caused by direct spread of the infection to the orbit, face, intracranial or osseous structures or hematogenous spread of the infection to the intracranial structures. Emergent imaging studies are often necessary in the evaluation of the complications in pediatric patients when the symptoms persist for 10 days and/or if there is evidence of intracranial or orbital complications. In addition, immunocompromised children are especially vulnerable to developing unusual complications. Computed tomography (CT) is excellent for determining whether there is intraorbital extension of PNS disease. However, when the infection approaches the orbital apex, a magnetic resonance imaging (MRI) study with contrast is necessary to assess spread into the cavernous sinus and the intracranial compartment. The goal of this manuscript is to review and characterize imaging findings of PNS infections using CT and MRI allowing determination of the extent of PNS infections and their common and unusual complications in children. In addition, a summary of the development of the normal PNS is provided.

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Disorders of the Angular Vein

Custer

Boulos

2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: The angular vein extends between the supraorbital and supratrochlear veins superiorly and the facial vein inferiorly. Rarely, this vessel can be involved by infections, vascular malformations, or benign tumors. In this study, we report both our experience and the published literature on angular vein disorders. Methods: A retrospective study was performed on patients seen between 2008 and 2022. The medical literature was searched for reports of conditions affecting the angular vein. Results: During the study period, we encountered 5 patients with angular vein disorders. Information from these patients was combined with 18 published cases. Among the 23 patients, the diagnosis was confused with lacrimal drainage abnormalities in 52%, and 57% underwent imaging. “Swelling” or a palpable, moveable mass were frequent findings. Pain or tenderness was experienced by 43.5% of patients. Five patients were observed, and 2 infections were treated with antibiotics. The remaining 16 lesions were successfully treated with excision (n = 15) or cauterization (n = 1), without complications. Final diagnosis included 14 vascular malformations (isolated varix: 7, thrombosis: 6, cavernous venous malformation: 1), 7 vascular tumors (intravenous pyogenic granulomas: 6, intravascular papillary endothelial hyperplasia: 1) and thrombophlebitis (n = 2). Conclusions: Disorders of the angular vein are uncommon and frequently misdiagnosed as lacrimal abnormalities. While these lesions can frequently be identified on clinical findings, imaging can be helpful in some cases. Patients with suspected thrombophlebitis require urgent antibiotic therapy. Minimally symptomatic angular vein lesions can be observed. Surgical excision is effective in treating the different vascular malformations and tumors affecting this structure.

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Angular Vein Thrombophlebitis—Report of a Case

Cited by 4 publications

References 0 publications

A Case of Atraumatic Angular Vein Thrombosis

A Case of Atraumatic Angular Vein Thrombosis

Imaging of Paranasal Sinus Infections in Children: A Review

Disorders of the Angular Vein

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