Internal jugular vein aneurysm: a case report
| Autor: | Abdullah Mohammed Alshamrani, D Alrasheedi Saud, Suhaib Khalid Alothmani, Rahaf Ibrahim Almadhari, Waleed M Alshehri, Adel Saad Alqahtani |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Sternoclavicular joint Case Report 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Aneurysm Embolism 030220 oncology & carcinogenesis Edema Biopsy cardiovascular system medicine Surgery Radiology medicine.symptom Thrombus business Sternocleidomastoid muscle Internal jugular vein |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjz159 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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