Internal Jugular Vein Aneurysm Research Articles

Masse cervicale douloureuse révélant un anévrysme de la veine jugulaire interne

Internal jugular vein aneurysms or phlebectasia of the internal jugular vein are considered a benign pathology. They are more and more diagnosed with the evolution of imaging techniques : ultrasonography, angioscanner and MRI. Clinically they are often by chance, however accompanying clinical signs can be seen such as pain, hoarseness or vocal cord paralysis. Several differential diagnoses can be mentioned such as laryngocoele, gill cyst, paraganglioma and hemangioma. They are of unknown etiology with several hypotheses on the etiopathogenesis and on the frequent localization on the right. Conservative treatment can be chosen for small aneurysms and in children. Surgical treatment finds its indication especially in the event of a complication such as thrombosis or for an aesthetic interest; other treatments such as endovascular treatment are being evaluated. We report the case of a 67-year-old woman admitted for a painful latero-cervical mass, and in whom the diagnosis of an aneurysm of the internal jugular vein was suspected and confirmed by ultrasound and CTscan. The patient received successful surgical treatment.

Right internal jugular vein thrombosis due to venous aneurysm of right internal jugular vein

Right internal jugular vein thrombosis due to venous aneurysm of right internal jugular vein

A rare case report of internal jugular vein aneurysm

Vascular aneurysms are common in the arteries and rare in the veins. Internal jugular vein (IJV) aneurysm is a relatively rare condition. The patient presented with a painless swelling on the right side of the neck that appears while coughing, straining, and bending. Detection of a soft and compressible swelling in the course of IJV, superficial to the sternocleidomastoid muscle, which resolves on compression and becomes prominent on Valsalva maneuver supports the clinical diagnosis of IJV aneurysm. Imaging diagnosis was done by color Doppler ultrasound, and precise delineation of the lesion was done with multidetector computed tomography. There was no thrombus within aneurysm.

An Extremely Rare Source of Pulmonary Embolism: Internal Jugular Vein Aneurysm

Jugular venous aneurysm (JVA) is a rare venous anomaly that usually presents in children and is infrequently reported in the adult literature. We present a case of an internal jugular vein aneurysm (IJVA) in an adult patient who presented with pulmonary embolism. A 70-year-old female was admitted to the hospital with pulmonary embolism. A left IJVA was found incidentally which was 22 × 18 mm in diameter during the screening for malignancy. Duplex ultrasound revealed residual venous thrombosis. The patient had no other risk factors for pulmonary embolism. Although extremely rare, IJVA may be a causative factor of pulmonary embolism. J Med Cases. 2016;7(6):195-196 doi: http://dx.doi.org/10.14740/jmc2485w

İkinci Brankiyal Yarık Kistini Taklit Eden Juguler Ven Anevrizması

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.

Internal jugular venous aneurysm

A61-year-oldwomanwas referred to the vascular surgery departmentwith a 4-month history of amass on the right side of her neck (A). Themass was first noted shortly after extraction of a right lower tooth. The mass was tender but not associated with any erythema or systemic signs of sepsis; nevertheless, she was treated by her local physician with oral antibiotics. There was no reported history of trauma. There was no airway or swallowing compromise. Her past medical history included ischemic heart disease and treated hypertension. On examination, she had a 5 4-cmmass on the right side of the neckwhen sitting upright. There was no increase in size with theValsalvamaneuver; themass was difficult to empty, although there was some reduction in the size of the mass in the recumbent position. There was no bruit heard on auscultation. A duplex ultrasound examination revealed a large right internal jugular vein aneurysm, 4.3 2.6 cm in diameter, with a low-flow “pseudothrombosis” appearance (B) and a “valve-like” effect preventing emptying because of the redundant nature of the sac. The left internal jugular vein was also aneurysmal, measuring 2.3 1.5 cm. Findings on hematologic investigations were normal, with no elevation in inflammatory markers. Computed tomography venography confirmed the diagnosis and ruled out gross mediastinal disease (Cover). Diagnostic venography revealed a small atrial septal defect, and there was no differential venous pressure in the jugular system (C). Echocardiography was normal with an ejection fraction of 65%. The treatment options were discussed with the patient, and she elected conservative management as the mass was asymptomatic except for its cosmetic appearance, and she is being observed with annual clinical review. There has been no change to the mass at 30 months of follow-up. The history of dental extraction was probably incidental to the patient’s presentation. The patient consented for presentation and publication of her rare condition. Jugular venous aneurysms are rare, usually congenital, and more often reported in the pediatric literature. Although rare, they usually have a benign course, andmostpatientspresentwithanasymptomaticneckmass.Treatmentoptions include surgical resectionwith lateral venorrhaphy andconservativemanagement.Treatment is offered for symptomatic aneurysms and for cosmetic reasons.

A rare case of internal jugular vein aneurysm with massive hemorrhage in neurofibromatosis type 1

Neurofibromatosis Type 1 (NF1) is a relatively common autosomal dominant disorder. Vascular involvement is a well-recognized manifestation of NF1, but venous aneurysm associated with NF1 is extremely rare. We present a case of an NF1 patient with a left internal jugular vein aneurysm with massive hemorrhage occurring during surgery. Due to the extreme fragility of both the aneurismal wall and the surrounding tissue, the patient developed severe intraoperative bleeding. Pathological examination confirmed aneurismal wall infiltration of the neurofibromatosis. Physicians should be aware that hemorrhagic complication in NF1 can occur and be fatal.

Internal Jugular Vein Aneurysm Presenting after Emesis Episode

75% percent of all jugular vein aneurysms cases are diagnosed in children. The authors present an unusual case of a voluminous internal jugular vein aneurysm in a 40 year-old woman. The patient developed a progressive enlarging cervical bulging after an intense emesis episode five years before. The aneurysm was managed by cervicotomy and jugular vein ligature and the patient had an uneventful postoperative recovery. The authors provide a brief review of diagnosis aspects and treatment options for this disease.

Endovascular Stent-protected Resection of a Large Jugular Vein Aneurysm Containing Thrombus

IntroductionInternal jugular vein aneurysms are very uncommon. Indications for surgery include the compression of adjacent structures and the risk of pulmonary embolism associated with thrombus within the aneurysm. ReportA 78-year-old woman was hospitalised with a large internal jugular vein aneurysm filled with thrombus. A bare metal stent was deployed from the left subclavian vein to the left brachiocephalic vein and served as a protection device during the open surgical resection of the aneurysm. At 28-month follow-up no serious complications had occurred. DiscussionThis case report introduces a novel method to prevent pulmonary embolism during treatment of large partially thrombosed jugular vein aneurysms.

Current Perspectives on Management of Congenital Jugular Vein Aneurysms

True aneurysms of the internal jugular vein are relatively rare. This study describes 3 cases and the current management of congenital internal jugular vein aneurysms.

Aneurysm Of The Internal Jugular Veın And Transverse Sınus Assocıated Wıth Occıpıtal Bone Erosıon

Internal Jugular Vein (IJV) aneurysm is exceedingly rare anomaly.Written data on this anomaly is rare in liteature.This report presents a case of IJV aneurym associated with transvers sinus aneurysm and occipital bone erosion. INTRODUCTION Anomalies of IJV are infrequently encountered in the literature. It has been described by various names as; phlebectasia, congenital venous cyst. IJVaneurysms usually present in childhood with asymptomatic mass in the neck which increase its size with valsalva maneuver , coughing,strainig etc. We report a case of IJV aneurysm associated with transvers sinus aneurysm and occipital bone erosion,that this combination is the first in literature. CASE REPORT A 58 year old woman presented with non-pulsatile mass in her neck.It had been present for 3 months but the erosion on her occipital bone exists from the birth. The patient was born after normal pregnacy and delivery without any special neonatal events. Beside this she has no symptoms and no history of previous trauma or surgery. The mass increases its size with increased intrathoracic pressure (Fig. 1) .The mass is located at the left lower third of her neck below the sternocleidomastoid muscle. It is size is approximately 5x3 cm. Figure 1 Figure 1: The patient before(A) and after(B) the valsalva maneuver In her digital substraction angiography examination, there were fusiform dilatation and irregularities in left transverse sinus and transversosigmoid junction level.Filling defect seen in sigmoid sinus, jugular bulbus and internal jugular vein.Cervical MRI and MRI angiography shows aneurysmatic dilatation in left transverse sinus and left internal juguler vein (Fig 2).On CT examination, a bony erosion starting form the left squamous part of the occipital bone and continuing to the occipitomastoid junction was noted and thought to be caused by the aneurysm (Fig 3). Figure 2 Figure 2 : Cervical MRI Angiography(A) demonstrating the left internal jugular vein aneurysm and the Digital Substraction Angiography (B) demonstrating the fusiform dilatation at the left transverse sinus and the transversosigmoid junction level. Aneurysm Of The Internal Jugular Vein And Transverse Sinus Associated With Occipital Bone Erosion 2 of 3 Figure 3 Figure 3 : Neck CT(A) demonstrating the left internal jugular vein aneurysm and the cranial CT(B) demonstrating the left occipital bone erosion. Since the patient has no symptom except appearance and the neck mass appears only in Valsalva conditions and surgery will have high morbidity ,the patient taken into yearly follow up visits. DISCUSSION Venous aneurysms especially in the neck are very rare conditions. In the literature Harris first described a case of congenital venous cyst in 1928 1. Since then there has been few reported cases. Most of the IJV aneurysms are located at the left side and have a fusiform morphology.2,5 The differential diagnosis of non-pulsatile neck masses include thyroglossal duct cysts,cystic hygroma,branchial cleft cyst,laryngocele,pharyngocele,dermoid cyst,cervical adenitis, thyroid mass, AVM, and cystic degeneration of tumors3,5 .Especially diagnosis of venous aneurysms should be suspected when the mass enlarges its size with increased intrathoracic pressure. Etiology is not clear. It can be traumatic,inflammatory or congenital. 5Diagnosis; color duplex USG, dynamic MRI, and venography2 .Mostly diagnosis is clear by USG. Pathology; all three layers of normal vein wall are present in venous aneurysms3. But elastic and muscular layer thinning may be seen3,4,5 .Thrombus may or may not be present5. This is the first case in the literature that have cranial bone erosion,transeverse sinus and IJV aneursym combination. There has been no report of rupture or thromboembolic complication of IJV aneurysm so only indication for surgery is cosmetic reasons. 3,4 In our case also we preferred clinical follow-up.

Jugular Vein Aneurysm

Jugular vein aneurysm is a rare morphologic entity. This report describes a case of an asymptomatic internal jugular vein aneurysm that presented as an enlarging mass in the neck. Diagnosis was established with duplex ultrasonography and venography. No thrombus was diagnosed in the aneurysm, but since the patient was uncomfortable with having a tumor in his neck, surgery was performed with resection of the aneurysm and lateral venorrhaphy of the jugular vein.

Internal Jugular Vein Aneurysm: A Case Report

A true aneurysm is defined as a localised permanent dilatation of all layers in a vessel wall. The commonest aneurysms are that of arteries, however, venous aneurysms are also described. These are relatively rare but should not be overlooked as they may result in significant symptoms including swelling, pain and embolism. This is a case report of a lady who presented with a swelling on the right hand side of her neck which proved to be a internal jugular vein aneurysm.

Sonographic diagnosis of a saccular aneurysm of the internal jugular vein

Aneurysm of the internal jugular vein is an extremely rare condition. It is usually detected during childhood and is characterized by being more prominent during Valsalva maneuvers such as vomiting, coughing, and straining. Most of the cases reported in the English literature are fusiform aneurysms of the internal jugular vein. We report the case of a saccular aneurysm of the left internal jugular vein in a 59-year-old woman with no change in size of the aneurysm during a Valsalva manuever.

3483: Internal jugular vein aneurysm with thrombosis diagnosed on US and CT: A case report

Introduction: Jugular venous malformations are rare and only sporadic cases have been reported in the literature. They are divided into phlebectasias and aneurysms. Jugular phlebectasias are fusiform dilatations, which are usually congenital and are seen most commonly in childhood. Jugular aneurysms are saccular dilatations, which are generally acquired and mostly seen in adults.

A case of arterio-venous aneurysm of the left common carotid artery and internal jugular vein

A case of arterio-venous aneurysm of the left common carotid artery and internal jugular vein

Congenital internal and external jugular venous aneurysms in a child

A 2-year-old boy presented with varices and a neck mass. Imaging studies revealed internal jugular vein aneurysm. Gradual increasing of the mass, potential thrombus formation and cosmetical considerations were indications for surgery. At surgery aneurysms of both the external and internal jugular veins were found and resected.

Fusiform Aneurysm of the Internal Jugular Vein : an Unusual Cause of Neck Swelling

Aneurysmal anomalies of the internal jugular vein are very uncommon. We report two cases of internal jugular vein aneurysm and discuss the clinical pattern, pathology, aetiology and management.

Isolated venous aneurysm of internal jugular vein—A case report

Isolated venous aneurysms are rare in children. They present as a swelling in the neck which becomes prominent on exertion. This is a case report of an eight year old boy who presented with a swelling in the neck on exertion. Proper investigations revealed the true diagnosis of an internal jugular vein aneurysm. Review of literature confirms the rare occurence as also the striking similarities between the cases reported.

Venous aneurysms: Surgical indications and review of the literature

During the last 20 years we diagnosed five cases of venous aneurysm of the jugular (n = 4) and basilic (n = 1) veins. The purpose of this report was to determine the natural history and indications for surgery of venous aneurysms. Our five cases were included in an English-language literature review performed through August 1993. In our series two aneurysms (one external jugular vein, one basilic vein) were excised for cosmetic reasons. Three internal jugular vein aneurysms were followed up for up to 4 years without complications with serial color duplex ultrasonography. Of 32 patients with abdominal venous aneurysms (18 portal, seven inferior vena cava, four superior mesenteric, two splenic, one internal iliac), 13 (41%) had major complications including five deaths. Of 31 patients with deep venous aneurysms of the extremity (29 popliteal, two common femoral), 22 (71%) had deep vein thrombosis or pulmonary embolism and in 17 recurrent deep vein thrombosis or pulmonary embolism developed when patients were treated with anticoagulation alone. Prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for most patients with lower extremity deep venous aneurysms. Other venous aneurysms should be excised only if they are symptomatic, enlarging, or disfiguring.