Management of an external jugular vein aneurysm in a young patient

Nana, Petroula; Korais, Christos; Mpouronikou, Anna; Lachanas, Vassilios A.; Σπανός, Κωνσταντίνος; Kouvelos, George

doi:10.1016/j.jvsv.2020.03.002

Cited by 7 publications

(18 citation statements)

References 23 publications

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“…It communicates with the main vein by a single channel, not associated with varicosity or arteriovenous communication. 3 Venous aneurysms are reported in facial, superior vena cava system, portal, splenic, femoral, popliteal, great and small saphenous veins. The lower extremities are affected most frequently, with popliteal vein being the most common site.…”

Section: Discussionmentioning

confidence: 99%

“…A jugular venous aneurysm is rarely seen as superior vena cava is a low-pressure system due to its distensible walls and drainage aided by gravity. 2,3 Among the jugular veins, most commonly the internal jugular vein is involved. [2][3][4][5] It is very uncommon for a patient to have spontaneous EJV aneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Among the jugular veins, most commonly the internal jugular vein is involved. [2][3][4][5] It is very uncommon for a patient to have spontaneous EJV aneurysm. In our experience, external jugular aneurysms are more common than segmental internal jugular vein aneurysms.…”

Section: Discussionmentioning

confidence: 99%

“…Sometimes patient presents with mild discomfort or painful swelling which is mainly because of thrombus within aneurysm or phlebitis or due to pressure effect on surrounding structures. [2][3][4] They usually present as a unilateral, soft, reducible, non-pulsatile swelling superficial to the sternocleidomastoid muscle in the course of EJV, which enlarges on straining, crying, bending, breath-holding and sneezing or coughing. 2,7 Differential diagnosis includes lymphocele, lymphadenopathy, laryngocele, external laryngeal diverticula, dermoid cyst, lung cupula, superior mediastinum tumour, cystic lymphangioma, haemangioma, cystic hygroma, enterogenous cyst, ectopic thyroid swelling and branchial cleft cyst.…”

Section: Discussionmentioning

confidence: 99%

“…It is very uncommon for a patient to have spontaneous EJV aneurysm and its management remains debatable. [2][3][4][5] We are presenting an analysis of 7 patients with isolated primary EJV aneurysm.…”

Section: Introductionmentioning

confidence: 99%

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Clinical profile and management of external jugular vein aneurysms

et al. 2020

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Objective External jugular vein (EJV) aneurysm is an extremely uncommon clinical condition. We have studied the clinical profile and need for surgery in this present seven case series of primary external jugular vein aneurysms. Method Over the past three years, we have diagnosed and managed aneurysms of external jugular vein in seven patients, who presented with swelling in the posterior triangle of the neck. Venous duplex was obtained in all the patients, followed by computed tomography (CT) in three patients and one patient reported with magnetic resonance (MR) venography from another hospital. Three patients had symptoms ranging from mild intermittent discomfort to moderate pain underwent excision of aneurysm after ligation of both ends of EJV. Four patients had swelling on the lateral side of the neck due to EJV aneurysm, with no other associated symptoms. They were kept on six monthly follow-ups. Result We operated three patients, as they were symptomatic, of which only two had thrombus in the aneurysmal sac. All three symptomatic patients had aneurysm of size >5 cm. Post-surgery and on subsequent follow-ups they were asymptomatic. The four asymptomatic patients kept on conservative management did not develop any thrombosis of aneurysm sac in follow up. Conclusion Surgical excision is indicated for symptomatic patients with EJV aneurysm, preferably for size > 5 cm because of their higher association with thrombosis or symptoms. Asymptomatic patients can be managed non-operatively with regular surveillance by clinical examination and venous duplex or can be treated if patients insist due to cosmetic reasons.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical profile and management of external jugular vein aneurysms

et al. 2020

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Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Essa

Ahmed

Bapir

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction and importance Venous aneurysms are rare diseases, and according to their locations, history will change. They will be diagnosed based on the clinical history and imaging modalities. The exact incidence of external jugular vein aneurysm remains controversial. In the neck, venous aneurysm has been reported most commonly in the internal jugular vein. Frequently the venous aneurysm has a fusiform shape, and the saccular type is extremely rare. Case presentation Here we present a case of the external jugular vein aneurysm which was misdiagnosed as a branchial cyst presented with gradual swelling in the left supraclavicular region. The patient was diagnosed intraoperatively, and by histopathological examination. The patient successfully underwent surgery of Proximal and distal control of the external jugular vein without resection of the clavicle were performed, and trans -fixation of the external jugular vein was done without any complications. Clinical discussion Idiopathic, spontaneous venous aneurysm of the external jugular vein thrombosis is extremely rare clinical findings. Computerized tomography was the gold standard test for the diagnosis of venous thrombosis, but nowadays neck ultrasound is the diagnostic test of choice. However, the mass was like a branchial cyst by ultrasound. Conclusion External jugular vein aneurysm is rare, when it was a saccular type and thrombosed without any causes it will be extremely rare. When idiopathic thrombosis of external jugular vein aneurysm was confirmed by imaging modalities, then it was symptomatic, enlarged, ruptured or disfigured, the surgical excision will be mandatory without anticoagulant drugs preoperatively or postoperatively.

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