Pediatric Radiology

, Volume 45, Issue 8, pp 1244–1248 | Cite as

Facial vein thrombophlebitis: an uncommon complication of sinusitis

Case Report

Abstract

Facial vein thrombophlebitis is an uncommon complication of sinusitis. In cases where periorbital swelling complicating sinusitis is diagnosed, clinical findings of swelling and erythema extending beyond the orbital region into the cheek should alert the physician about this unusual complication and the need for further contrast-enhanced imaging and venography. The radiologist must be particularly careful in the evaluation of vascular structures of the face and neck in these children. CT and MRI with contrast material and MR venography are studies that clearly demonstrate the vascular anatomy and possible complications. However, MR venography confirms flow abnormalities within the venous system with the advantage of avoiding radiation exposure to the pediatric patient.

Keywords

Child Computed tomography Facial vein Magnetic resonance venography Preseptal cellulitis Superior ophthalmic vein Sinusitis Thrombophlebitis 

Notes

Conflicts of interest

None

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Claudia Cotes
    • 1
  • Roy Riascos
    • 2
  • Leonard E. Swischuk
    • 3
  1. 1.Department of RadiologyThe University of Texas Medical BranchGalvestonUSA
  2. 2.Department of Diagnostic and Interventional ImagingThe University of Texas Medical SchoolHoustonUSA
  3. 3.Department of Pediatrics and Pediatric RadiologyThe University of Texas Medical BranchGalvestonUSA

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