Idiopathic thrombosis 0f unilateral external jugular vein

The authors report a patient with the rare presentation of unilateral external jugular vein thrombosis. A 45 year male presented with swelling over left side of the neck and puffiness of the face. Physical examination revealed cord like thickening of left external jugular veins. Doppler studies showed thrombosis of left external jugular vein. No malignancy, coagulation disorder, or any infection was demonstrable. Ligation and excision of thrombosed part of EJV was done. A regular follow-up for 1 year was done, but no other cause could be found and there was no progression of the disease.