How To Approach #Internal Jugular Vein Aneurysm; A Rare Cause of #Neck Mass by Hasan Emre Koçak in BJSTR
Abstract
Venous aneurysms are rare entities especially while presenting neck
mass. Internal Jugular vein anuerysms comprise a small part of
all venous aneurysms.Natural history of the pathology depends on
anatomic location. Surgical intervention is spared for symptomatic
cases.
We present a 15 year old male who admitted to otorhinolaryngology clinic
with expansile right lateral neck mass with out any pulsation.
Physical examination revealed a normal morphology of cervial region.
When the patient was asked to strain, an expansing soft painless mass
appeared in the right supraclavicular region. The mass disappeared when
the patient breathed normally. Lateral cervical cyst was suspected.
Ultrasonography and magnetic resonance imaging with venography sequences
were ordered. Dynamic measurements showed enlargement
of right internal juguler vein with cross sectional diameter of 39 mm at
proximal segment of the vein and reaching 59 mm vertically.
Echocardiographic evaluation and thorax imaging showed no accompanying
pathology. Doppler ultrasound showed well mucosal lining with
substantial muscular layer without any thrombotic focus. Direction of
flow was toward subclavian vein. Conservative approach was preffered
for the case. Patient was followed up on for 1 year with no additonal
symptom.
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