"Floating boat": incidental ultrasound finding of a jugular floating thrombus

Ibrahima Niang, Youssoupha Kasse

PAMJ-CM. 2021; 5:66. Published 01 Mar 2021 | doi:10.11604/pamj-cm.2021.5.66.28448

 This is a 65-year-old patient who has been on hemodialysis for 5 years with a left humeral-basilic arteriovenous fistula. This fistula is currently in hyper flow estimated at 2300 ml/min associated with three uncomplicated false-aneurysms. There was no thrombosis in the arteries and veins of the upper limb. In order to perform another replacement fistula on the right upper limb, the patient was referred to us for vascular mapping of the right upper limb. This vascular mapping was not favorable to the realization of a native arteriovenous fistula, due to the insufficient caliber of the superficial veins. In addition, exploration of the neck vessels revealed a left jugular thrombosis. The thrombus was hypoechoic oval, measuring 32 x 8 x 12mm, floating in the lumen of the internal jugular vein without parietal contact and giving the appearance of a "floating boat" in longitudinal view (A B).
Corresponding author
Ibrahima Niang, Radiology Department, Fann University Hospital Center, Dakar, Senegal (niangibrahimaniang@gmail.com)

This image

Articles published in PAMJ-CM are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

eISSN: 2707-2797


The PAMJ Clinical Medicine (ISSN: 2707-2797) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, ESCI

Physical address: Kenya: 3rd Floor, Park Suite Building, Parkland Road, Nairobi. PoBox 38583-00100, tel: +254 (0)20-520-4356 | Cameroon: Immeuble TechnoPark Essos, Yaounde, PoBox: 10020 Yaounde, tel: +237 (0)24-309-5880