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<p>Internal jugular vein (IJV) thrombosis is a rare but potentially serious complication of deep neck infections in children. Due to its low incidence, management strategies are not well established and largely extrapolated from adult guidelines. We report two paediatric patients who developed IJV thrombosis secondary to neck abscesses. Both cases presented with progressive neck swelling and fever, with imaging confirming abscess formation and IJV thrombosis. Management consisted of broad-spectrum intravenous antibiotics and prompt surgical drainage. Anticoagulation therapy was not commenced due to perioperative bleeding risk and individualized clinical assessment. Both patients demonstrated good clinical recovery, with follow-up Doppler ultrasound showing complete resolution of thrombosis. Early source control and antibiotic therapy may be sufficient in addressing IJV thrombosis secondary to neck abscesses, highlighting the importance of individualized management and close radiological follow-up.</p>

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Paediatric Neck Abscess Complicated With Internal Jugular Vein Thrombosis: A Report of Two Cases

  • 期刊论文

  • 发表日期：

    2026年7月23日

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  • Samuel Chu,
  • Anna F. Jumaat,
  • Bee See Goh,
  • Balqis Zulkiple,
  • Faizah Mohd Zaki

摘要

Internal jugular vein (IJV) thrombosis is a rare but potentially serious complication of deep neck infections in children. Due to its low incidence, management strategies are not well established and largely extrapolated from adult guidelines. We report two paediatric patients who developed IJV thrombosis secondary to neck abscesses. Both cases presented with progressive neck swelling and fever, with imaging confirming abscess formation and IJV thrombosis. Management consisted of broad-spectrum intravenous antibiotics and prompt surgical drainage. Anticoagulation therapy was not commenced due to perioperative bleeding risk and individualized clinical assessment. Both patients demonstrated good clinical recovery, with follow-up Doppler ultrasound showing complete resolution of thrombosis. Early source control and antibiotic therapy may be sufficient in addressing IJV thrombosis secondary to neck abscesses, highlighting the importance of individualized management and close radiological follow-up.