Spontaneous external jugular vein pseudoaneurysm: A rare cause of neck swelling

Radiology Case Reports

article

Badr Boutakioute¹  Meriam Benzalim¹  Anass Chehboun¹  Meriem Ouali¹  Najat Cherif Idrissi El Ganouni¹ 

[1] Department of Radiology, Ar-Razi Hospital, Med VI University Hospital Center

关键词: External jugular vein;    Pseudoaneurysm;    Ultrasound sonography;    CT angiography;   

DOI  :  10.1016/j.radcr.2022.09.017

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Pseudoaneurysm of the external jugular vein is a relatively unusual cause of a neck mass caused by the low pressure venous system . Regardless of etiology, spontaneous pseudoaneurysms are extremely rare, and only few cases have been described in literature. They require surgery; however, most patients can be safely discharged with close follow-up with a vascular surgeon. This case demonstrates a 30-year-old man who presented with a non-tender, compressible, left-sided neck mass that enlarged with Valsalva, and intermittent paresthesias. Ultrasound confirmed a cystic mass of unknown etiology containing doppler flow suggesting the diagnosis of an external jugular vein pseudoaneurysm, confirmed by a CT angiogrphy. The patient refused the surgery, and we agreed he was safe for discharge at that time and could follow up with vascular surgery as an outpatient.

【 授权许可】

CC BY|CC BY-NC-ND