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Case Reports
. 2024 Mar 13:47:119.
doi: 10.11604/pamj.2024.47.119.42983. eCollection 2024.

Superior ophthalmic vein thrombosis in unique double origin: a case report

Taha Boutaj  1 , Hamza Lazaar  1 , Romaissae Benkirane  1 , Latifa Sbai  1 , Manal Tabchi  1 , Zineb Hilali  1 , Rim El Hachimi  1 , Samira Tachfouti  1 , Abdellah Amazouzi  1 , Ouafa Cherkaoui  1
Affiliations
Case Reports

Superior ophthalmic vein thrombosis in unique double origin: a case report

Taha Boutaj et al. Pan Afr Med J. .

Abstract

Superior ophthalmic vein thrombosis (SOVT) is a rare orbital pathology. It can cause serious complications if it isn´t diagnosed appropriately. It can be secondary to many etiologies, septic or aseptic ones. Diabetic ketoacidosis (DKA) may disturb the vascular endothelium and promote a prothrombotic state. The presence of which is related to a significantly increased risk of morbidity and mortality. We report the case of a 45-year-old woman who presented a SOVT revealing DKA. Orbit magnetic resonance imaging (MRI) showed thrombosis of the right superior ophthalmic vein. A treatment based on thrombolytic treatment, associated with antibiotic coverage and a glycemic balance was initiated. This case highlights the importance of considering both infection and diabetes as an important part of the diagnosis and management of SOVT.

Keywords: Diabetes; case report; exophthalmos; infection; magnetic resonance imaging.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
clinical photograph of the patient at emergency room showing exophthalmos with ptosis and right eyelid inflammation (right eye)
Figure 2
Figure 2
orbito-cerebral angio magnetic resonance imaging; axial images: (A,B) thrombosis of the right superior ophthalmic vein, with inflammatory infiltrate in the upper right rectus muscle; (C) sphenoidal sinusitis, and right otitis media
See this image and copyright information in PMC

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