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<p>Superior ophthalmic vein thrombosis (SOVT) is a rare but potentially life-threatening condition that may arise from infectious or non-infectious causes. Early diagnosis is crucial to prevent severe complications, including visual impairment and intracranial extension. Imaging, particularly contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in diagnosis. We report the case of a 9-year-old boy presenting with left periorbital swelling, fever, and upper respiratory symptoms. Laboratory findings indicated an inflammatory state, and imaging evaluation was performed due to suspicion of orbital involvement. Contrast-enhanced CT revealed dilation and tortuosity of the left superior ophthalmic vein with an intraluminal filling defect, consistent with thrombosis, associated with periorbital cellulitis and acute rhinosinusitis. The patient was treated with intravenous antibiotics and anticoagulation therapy, leading to complete clinical resolution. This case highlights the importance of early imaging in pediatric patients with orbital infections and suggests that prompt recognition of SOVT can guide appropriate treatment and prevent serious complications. Multidisciplinary management is essential for optimal outcomes.</p>

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Superior ophthalmic vein thrombosis in a pediatric patient: diagnostic imaging and clinical implications

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月13日

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  • Giuseppe Paviglianiti,
  • Francesco Pollari,
  • Floriana Di Marco,
  • Paolo Pizzicato,
  • Rocco Minelli,
  • Diana Baldari,
  • Valentina Cariello,
  • Marcello Napolitano,
  • Michelangelo Baldazzi,
  • Danilo Casale,
  • Antonio Rossi,
  • Eugenio Rossi

摘要

Superior ophthalmic vein thrombosis (SOVT) is a rare but potentially life-threatening condition that may arise from infectious or non-infectious causes. Early diagnosis is crucial to prevent severe complications, including visual impairment and intracranial extension. Imaging, particularly contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI), plays a key role in diagnosis. We report the case of a 9-year-old boy presenting with left periorbital swelling, fever, and upper respiratory symptoms. Laboratory findings indicated an inflammatory state, and imaging evaluation was performed due to suspicion of orbital involvement. Contrast-enhanced CT revealed dilation and tortuosity of the left superior ophthalmic vein with an intraluminal filling defect, consistent with thrombosis, associated with periorbital cellulitis and acute rhinosinusitis. The patient was treated with intravenous antibiotics and anticoagulation therapy, leading to complete clinical resolution. This case highlights the importance of early imaging in pediatric patients with orbital infections and suggests that prompt recognition of SOVT can guide appropriate treatment and prevent serious complications. Multidisciplinary management is essential for optimal outcomes.