Le goitre plongeant compressif est une urgence au traitement du fait du risque d´asphyxie par compression de l´arbre respiratoire. Nous rapportons le cas d´une patiente de 48 ans qui s´est présentée aux urgences avec une dyspnée laryngée sur un goitre plongeant et compressif, à travers notre observation et une revue de la littérature nous allons mettre le point sur les caractéristiques cliniques, l'aspect radiologique, et les différentes options du traitement. La gestion d´un patient qui présente un goitre compressif est difficile et doit être rapide car le risque d´asphyxie est majeur, la prise en charge est multidisciplinaire par une équipe opératoire expérimentée incluant les réanimateurs l´Otho-rhino-laringologie (ORL) et les chirurgiens thoraciques.

A 52-year-old woman presented at our department with complaints of progressive swelling on left sternomastoidien region for 3 years. There was no history of preceding trauma, or cannulation of the vein and infusion of fluid for extended period .and there was no history of difficulty in swallowing, change in voice or any nasal symptoms. AbstractExternal jugular vein aneurysm with thrombosis presenting as neck swelling is a rare clinical entity and rarely encountered in routine clinical practice in otorhinolaryngology. Keywords: Saccular aneurysm; External jugular vein; ThrombosisWe present a case of a 52-year-old female with external jugular vein aneurysm presenting as a neck mass. Ultrasound of the neck and CT showed saccular dilation of the external jugular vein with thrombosis within the aneurysm. Saccular aneurysm of the external jugular vein is very uncommon and can lead to thrombotic complications with serious consequence.Physical examination revealed a 4 × 3 cm soft, round, non-pulsatile, fluctuant swelling on the left sternocleidomastoidien region.A 52-year-old woman presented at our department with complaints of progressive swelling on left sternomastoidien region for 3 years. There was no history of preceding trauma, or cannulation of the vein and infusion of fluid for extended period .and there was no history of difficulty in swallowing, change in voice or any nasal symptoms.The overlying skin over the swelling had no signs of inflammation. Swelling was mobile in horizontal plane. There was mild increase in the size of the swelling during Valsalva manoeuvre and during laughing. The swelling was mildly compressible and slip sign was negative. No bruit could be detected on auscultation over the swelling. There was no other swelling in the neck or on other parts of the body. Nasofibroscopy and rhinocavoscopy were normal.Ultrasonography of the neck reported a thin-walled cystic mass on the left side abutting the left external jugular vein, Contrastenhanced computed tomography scan of the neck showed a focal area of dilatation of the left external jugular vein and enhancing oval-shaped swelling arising from the external jugular vein (Figure 1).

No abstract

Introduction Cavernous hemangioma is a venous malformation that occurs throughout the entire body but is rarely localized in internal jugular vein, to the best of our knowledge our case is the first case reported in the literature. Case report We report a case of internal jugular vein cavernous hemangioma in a 62-year-old woman and review the literature concerning the clinical features, radiological appearance, histopathological findings and treatment options. Discussion Internal jugular vein cavernous hemangioma, is a very rare tumor composed of large dilated blood vessels and containing large blood-filled spaces. It can occur as lateral neck mass, in our case neither the scanner nor the ultrasound made the diagnosis. Given the rarity of the condition, therapeutic strategies remain unclear. However, according to the published literature, complete resection is considered the most successful and effective treatment.

No abstract