医学
血栓性静脉炎
外科
涎腺炎
血栓形成
并发症
静脉血栓形成
门诊部
颌下腺
唾液腺
病理
内科学
作者
F.-D. Goebel,Katrin Knopf,Lukas Sebastian Fiedler
出处
期刊:Case Reports
[BMJ]
日期:2024-02-01
卷期号:17 (2): e259423-e259423
标识
DOI:10.1136/bcr-2023-259423
摘要
Thrombosis and thrombophlebitis of the facial vein represent exceptionally rare diagnoses, particularly when occurring as complications of acute sialadenitis of the submandibular gland. This case report details the experience of a middle-aged man initially presenting at a tertiary care ear, nose and throat department with right submandibular gland sialadenitis. Despite initiating outpatient treatment involving oral antibiotics and sialagogues, the patient returned after a week with persistent and worsening pain, accompanied by swelling of the right submandibular gland and cheek. Using ultrasound, the accurate diagnosis was promptly identified, revealing thrombosis in the facial vein.The patient underwent a comprehensive treatment regimen involving anticoagulation and intravenous antibiotics. With a subsequent reduction in pain and swelling, the patient was discharged, continuing oral anticoagulation and antibiotics. Outpatient follow-up revealed a complete recovery 3 weeks later. This case underscores the importance of timely and precise diagnostic measures in managing rare complications associated with sialadenitis.
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