Facial vein aneurysm associated with sialadenitis

“…Venous aneurysms in the head and neck are uncommon, and involvement of the facial vein is exceedingly rare, with only a few cases described in the literature (Table 1) [2,[5][6][7][8][9][10]. They are typically benign and may present with transient enlargement during movements that increase intrathoracic pressure or impede venous return.…”

Section: Discussionmentioning

confidence: 99%

“…They are typically benign and may present with transient enlargement during movements that increase intrathoracic pressure or impede venous return. Venous aneurysms are typically idiopathic but may be secondary to surgery, trauma, infection, congenital vascular abnormalities, or other underlying inflammatory processes [5][6][7][8][9][10][11]. In the case of facial vein aneurysms, associations with chronic sialadenitis have been described in the literature [6].…”

Section: Discussionmentioning

confidence: 99%

“…Venous aneurysms are typically idiopathic but may be secondary to surgery, trauma, infection, congenital vascular abnormalities, or other underlying inflammatory processes [5][6][7][8][9][10][11]. In the case of facial vein aneurysms, associations with chronic sialadenitis have been described in the literature [6]. Duplex ultrasound (US) is a non-invasive, readily available test that offers good reliability in the head and neck, making it the initial imaging study of choice when there is high suspicion for a venous aneurysm.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Idiopathic Facial Vein Aneurysm: A Case Report and Review of the Literature

Martini¹,

Shukairy²,

Pasquale³

et al. 2023

Cureus

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Venous aneurysms of the head and neck, and in particular the facial vein, are rare lesions that present as soft, compressible masses. We describe a case of an idiopathic aneurysm of the facial vein. A comprehensive literature review of this entity was conducted to better understand the disease process.A 51-year-old female presented with a one-year history of a prominent but painless right submandibular mass that was more noticeable with maneuvers such as straining. An exam showed a painless, soft, compressible, right level 1b neck mass that enlarged with Valsalva. A computed tomography scan of the neck revealed a 2.7 cm enhancing mass adjacent to the right submandibular gland. Further workup included a direct puncture venography, which demonstrated an unruptured 3 cm venous aneurysm involving the right facial vein. Surgical excision was offered to the patient, which was completed without complications. Histopathology of the mass was consistent with a facial vein aneurysm and confirmed the suspected diagnosis. The patient was seen postoperatively in follow-up and was healing well.While facial vein aneurysms are rare, it is important to recognize, work up, and treat them appropriately. A painless compressible mass that enlarges with Valsalva is suggestive of the diagnosis. Management may vary on a case-by-case basis with surgical resection being the definitive treatment of choice.

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