İkinci Brankiyal Yarık Kistini Taklit Eden Juguler Ven Anevrizması

Abstract

We aim to emphasize the value of proper radiological evaluation in approaching the patients with neck masses under the scope of literature. A 34-year-old man admitted to our clinic with a complaint of swelling on the left side of his neck. Following Doppler ultrasonography and cervical magnetic resonance imaging, the radiology department reported ''a second brancial cleft cyst''. However, we explored the neck and found a true aneurysm of internal jugular vein during the operation. The aneursymal portion of internal jugular vein was resected and free ends were sutured. Anticoagulant treatment was given in order to prevent thrombosis. No complications were observed in the postoperative period and the patient was discharged in the second postoperative day. Pathological examination revealed saccular internal jugular venous aneursym. Jugular venous aneursyms may mimic second branchial cyst and other cysts. Although radiological investigation is very heplful in many cases, sometimes it may be difficult to distinguish neck masses, therefore surgeons especially beginners should be careful with such cases.