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Internal jugular vein aneurysm: a case report

Venous aneurysms rarely present as a painless mass; they are usually symptomatic and present with pain, swelling, and sometimes, embolism. We present a 41-year-old man who presented with a painless swelling involving the right side of the neck. Examination of the neck revealed a soft, compressible,...

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Autores principales: Alshehri, Waleed Mohammed, Alothmani, Suhaib Khalid, Alshamrani, Abdullah Mohammed, Almadhari, Rahaf ibrahim, Alqahtani, Adel Saad, Alrasheedi Saud, D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532136/
https://www.ncbi.nlm.nih.gov/pubmed/31139340
http://dx.doi.org/10.1093/jscr/rjz159
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author Alshehri, Waleed Mohammed
Alothmani, Suhaib Khalid
Alshamrani, Abdullah Mohammed
Almadhari, Rahaf ibrahim
Alqahtani, Adel Saad
Alrasheedi Saud, D
author_facet Alshehri, Waleed Mohammed
Alothmani, Suhaib Khalid
Alshamrani, Abdullah Mohammed
Almadhari, Rahaf ibrahim
Alqahtani, Adel Saad
Alrasheedi Saud, D
author_sort Alshehri, Waleed Mohammed
collection PubMed
description Venous aneurysms rarely present as a painless mass; they are usually symptomatic and present with pain, swelling, and sometimes, embolism. We present a 41-year-old man who presented with a painless swelling involving the right side of the neck. Examination of the neck revealed a soft, compressible, non-pulsatile and non-tender swelling above the right sternoclavicular joint. Doppler ultrasound showed a well-defined compressible cystic lesion measuring 4.2 × 1.9 cm causing indentation of the right sternocleidomastoid muscle. Further imaging studies confirmed the diagnosis of an aneurysmal dilation in the right internal jugular vein. An excisional biopsy of the aneurysm was performed using a longitudinal incision in the skin at the anterior border of the right sternocleidomastoid muscle and excisional venotomy was performed. Histopathological examination showed a cystic structure containing organizing blood clots surrounded by a thick fibrous wall. A follow-up neck ultrasound performed postoperative showed a patent internal jugular vein.
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spelling pubmed-65321362019-05-28 Internal jugular vein aneurysm: a case report Alshehri, Waleed Mohammed Alothmani, Suhaib Khalid Alshamrani, Abdullah Mohammed Almadhari, Rahaf ibrahim Alqahtani, Adel Saad Alrasheedi Saud, D J Surg Case Rep Case Report Venous aneurysms rarely present as a painless mass; they are usually symptomatic and present with pain, swelling, and sometimes, embolism. We present a 41-year-old man who presented with a painless swelling involving the right side of the neck. Examination of the neck revealed a soft, compressible, non-pulsatile and non-tender swelling above the right sternoclavicular joint. Doppler ultrasound showed a well-defined compressible cystic lesion measuring 4.2 × 1.9 cm causing indentation of the right sternocleidomastoid muscle. Further imaging studies confirmed the diagnosis of an aneurysmal dilation in the right internal jugular vein. An excisional biopsy of the aneurysm was performed using a longitudinal incision in the skin at the anterior border of the right sternocleidomastoid muscle and excisional venotomy was performed. Histopathological examination showed a cystic structure containing organizing blood clots surrounded by a thick fibrous wall. A follow-up neck ultrasound performed postoperative showed a patent internal jugular vein. Oxford University Press 2019-05-23 /pmc/articles/PMC6532136/ /pubmed/31139340 http://dx.doi.org/10.1093/jscr/rjz159 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Alshehri, Waleed Mohammed
Alothmani, Suhaib Khalid
Alshamrani, Abdullah Mohammed
Almadhari, Rahaf ibrahim
Alqahtani, Adel Saad
Alrasheedi Saud, D
Internal jugular vein aneurysm: a case report
title Internal jugular vein aneurysm: a case report
title_full Internal jugular vein aneurysm: a case report
title_fullStr Internal jugular vein aneurysm: a case report
title_full_unstemmed Internal jugular vein aneurysm: a case report
title_short Internal jugular vein aneurysm: a case report
title_sort internal jugular vein aneurysm: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532136/
https://www.ncbi.nlm.nih.gov/pubmed/31139340
http://dx.doi.org/10.1093/jscr/rjz159
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