Abstract:We report the case of a 48-year-old man with a right fusiform internal jugular venous aneurysm, presenting as a unilateral painless neck swelling on coughing or laughing. This is a rare condition, more commonly seen in the paediatric population and can be diagnosed using non-invasive modalities such as Doppler ultrasound and contrast-enhanced CT. This anomaly is frequently misdiagnosed or overlooked, and our case highlights the importance of considering venous aneurysm as a differential to prevent invasive ima… Show more
“…[17][18][19][20] Complications such as spontaneous rupture, thrombophlebitis, thrombosis, and pulmonary embolism are rare. [5][6][7][8] When thromboses occur, they are more frequent in adults than in pediatric patients (17% vs 1.5%, respectively). 14 There has been only one case report that described a pulmonary embolism in the presence of IJVA thrombus with no other source.…”
Section: Discussionmentioning
confidence: 99%
“…He received no perioperative anticoagulation because of the low reported risk of thromboembolic complications. 5 , 6 , 7 , 8 Fig 5 A, Internal jugular venous aneurysm ( IJVA ) in situ with small adjacent mass ( arrow ). B, After resection with lateral venorrhaphy ( arrow ).…”
Section: Case Reportsmentioning
confidence: 99%
“…The patient suffered no complications with no evidence of recurrence at 6 months of follow-up. He received no perioperative anticoagulation because of the low reported risk of thromboembolic complications [5][6][7][8].…”
Internal jugular venous aneurysm (IJVA) is a rare entity that usually remains asymptomatic with only rare complications. We report two cases of IJVA. Both patients presented with a palpable soft tissue mass in the neck and were found to have IJVA on imaging with associated lymphadenopathy. In both cases, the aneurysms and involved lymph nodes were resected, with the jugular vein being primarily reconstructed. There are only a few case reports involving IJVA, and treatment guidelines are not well established. Whereas nonoperative management is frequently chosen, the most common indication for surgery is cosmetic; both management options have favorable outcomes.
“…[17][18][19][20] Complications such as spontaneous rupture, thrombophlebitis, thrombosis, and pulmonary embolism are rare. [5][6][7][8] When thromboses occur, they are more frequent in adults than in pediatric patients (17% vs 1.5%, respectively). 14 There has been only one case report that described a pulmonary embolism in the presence of IJVA thrombus with no other source.…”
Section: Discussionmentioning
confidence: 99%
“…He received no perioperative anticoagulation because of the low reported risk of thromboembolic complications. 5 , 6 , 7 , 8 Fig 5 A, Internal jugular venous aneurysm ( IJVA ) in situ with small adjacent mass ( arrow ). B, After resection with lateral venorrhaphy ( arrow ).…”
Section: Case Reportsmentioning
confidence: 99%
“…The patient suffered no complications with no evidence of recurrence at 6 months of follow-up. He received no perioperative anticoagulation because of the low reported risk of thromboembolic complications [5][6][7][8].…”
Internal jugular venous aneurysm (IJVA) is a rare entity that usually remains asymptomatic with only rare complications. We report two cases of IJVA. Both patients presented with a palpable soft tissue mass in the neck and were found to have IJVA on imaging with associated lymphadenopathy. In both cases, the aneurysms and involved lymph nodes were resected, with the jugular vein being primarily reconstructed. There are only a few case reports involving IJVA, and treatment guidelines are not well established. Whereas nonoperative management is frequently chosen, the most common indication for surgery is cosmetic; both management options have favorable outcomes.
Background:
Internal jugular phlebectasia (IJP), the abnormal dilatation of internal jugular vein, is generally considered a benign anomaly. However, because IJP is uncommon, little is known about its natural history, and currently, no consensus on the best treatment modality is available.
Methods:
The purpose of this article is to conduct a systematic review of available literature on recently reported IJP cases to understand the main characteristics of IJP and its most frequent therapeutic approaches. Following the preferred reporting items for systematic reviews and meta-analyses guidelines, literature search for IJP cases was conducted in the COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO databases.
Results:
A total of 97 original articles were found, with a total of 247 IJP cases reported including both pediatric and adult patients.
Conclusions:
To the best of our knowledge, this study is the largest systematic review analyzing all the reported cases of IJP. IJP is considered by most authors as a benign abnormality that predominantly affects the right jugular vein. It is most commonly diagnosed in children. At present, conservative treatment is preferred for pediatric but not for adult patients. Multicenter randomized prospective studies are required to further understand this rare anomaly.
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