Retromandibular vein ectasia : A parotid mass mimicker

Autor: Hanae Ramdani, MD, Khadija Benelhosni, MD, Nabil Moatassim Billah, MD, Ittimade Nassar, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Radiology Case Reports, Vol 17, Iss 1, Pp 161-165 (2022)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2021.10.019
Popis: Retromandibular venous ectasia is a rare lesion that may imitate a parotid gland mass. Accurate radiological diagnosis prevents unnecessary invasive procedures. We present the case of a 69-year-old male patient presenting a right-sided, painless, compressible parotid region mass, fluctuating in size with head position and Valsalva maneuver. No thrill was palpable on physical examination. Doppler ultrasound demonstrated an anechoic compressible intra-parotid lesion, with luminal color filling, and venous spectral waveform.Contrast-enhanced computed tomography and Magnetic resonance angiography of the neck revealed an ectatic retromandibular vein. The patient was conservatively managed and regularly followed up. No complications occurred. Cervical region venous ectasias are rare and commonly misdiagnosed. They should be considered in the soft neck masses differential diagnosis. Imaging plays a key diagnostic role.
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