Idiopathic Facial Vein Aneurysm: A Case Report and Review of the Literature.
| Autor: | Martini D; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA., Shukairy MK; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA., Pasquale D; Interventional Neuroradiology, Loyola University Medical Center, Maywood, USA., Ziegler A; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jan 16; Vol. 15 (1), pp. e33842. Date of Electronic Publication: 2023 Jan 16 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.33842 |
| Abstrakt: | Venous aneurysms of the head and neck, and in particular the facial vein, are rare lesions that present as soft, compressible masses. We describe a case of an idiopathic aneurysm of the facial vein. A comprehensive literature review of this entity was conducted to better understand the disease process. A 51-year-old female presented with a one-year history of a prominent but painless right submandibular mass that was more noticeable with maneuvers such as straining. An exam showed a painless, soft, compressible, right level 1b neck mass that enlarged with Valsalva. A computed tomography scan of the neck revealed a 2.7 cm enhancing mass adjacent to the right submandibular gland. Further workup included a direct puncture venography, which demonstrated an unruptured 3 cm venous aneurysm involving the right facial vein. Surgical excision was offered to the patient, which was completed without complications. Histopathology of the mass was consistent with a facial vein aneurysm and confirmed the suspected diagnosis. The patient was seen postoperatively in follow-up and was healing well. While facial vein aneurysms are rare, it is important to recognize, work up, and treat them appropriately. A painless compressible mass that enlarges with Valsalva is suggestive of the diagnosis. Management may vary on a case-by-case basis with surgical resection being the definitive treatment of choice. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Martini et al.) |
| Databáze: | MEDLINE |
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