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Abdominal computed tomography and panendoscopy revealed ulcerative tumor at the antrum. Pathological examination confirmed the presence of signet-ring cell adenocarcinoma. We highlight the clinical features and etiologies of internal jugular vein thrombosis, especially in Lemierre's syndrome and Trousseau's syndrome, to aid physicians in making an early diagnosis and providing timely management. Copyright © 2019 Tzu Chi Medical Journal.Ipsilateral femoral neck fracture after hardware removal in healed trochanteric fracture is a rare co