Saccular aneurysm of external jugular vein with partial thrombosis

Parashi, Hrishikesh Sukhadeo; Rawekar, Kunal Hemant; Joshi, Manoj Murlidhar; Namdev, Hemant; Jadhao, Manish; Bhosle, Krishnarao Narayan

doi:10.1177/0218492316686477

Cited by 9 publications

(17 citation statements)

References 5 publications

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“…Several authors confirmed that anticoagulation alone is insufficient for preventing such complications [ [25] , [26] , [27] , [28] ]. Most patients with external jugular vein aneurysm underwent surgical treatment with local, and general anesthesia [ 16 , [29] , [30] , [31] , [32] , [33] , [34] ].…”

Section: Discussionmentioning

confidence: 99%

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Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Essa

Ahmed

Bapir

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction and importance Venous aneurysms are rare diseases, and according to their locations, history will change. They will be diagnosed based on the clinical history and imaging modalities. The exact incidence of external jugular vein aneurysm remains controversial. In the neck, venous aneurysm has been reported most commonly in the internal jugular vein. Frequently the venous aneurysm has a fusiform shape, and the saccular type is extremely rare. Case presentation Here we present a case of the external jugular vein aneurysm which was misdiagnosed as a branchial cyst presented with gradual swelling in the left supraclavicular region. The patient was diagnosed intraoperatively, and by histopathological examination. The patient successfully underwent surgery of Proximal and distal control of the external jugular vein without resection of the clavicle were performed, and trans -fixation of the external jugular vein was done without any complications. Clinical discussion Idiopathic, spontaneous venous aneurysm of the external jugular vein thrombosis is extremely rare clinical findings. Computerized tomography was the gold standard test for the diagnosis of venous thrombosis, but nowadays neck ultrasound is the diagnostic test of choice. However, the mass was like a branchial cyst by ultrasound. Conclusion External jugular vein aneurysm is rare, when it was a saccular type and thrombosed without any causes it will be extremely rare. When idiopathic thrombosis of external jugular vein aneurysm was confirmed by imaging modalities, then it was symptomatic, enlarged, ruptured or disfigured, the surgical excision will be mandatory without anticoagulant drugs preoperatively or postoperatively.

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Section: Discussionmentioning

confidence: 99%

“…Because the technique is less invasive, it can be performed under local anesthesia [ 35 , 36 ]. Moreover, in asymptomatic patient conservative management is preferable [ 2 , 33 , [37] , [38] , [39] ]. However, due to the scarcity of published research, there are no precise guidelines for the managing of these lesions.…”

Section: Discussionmentioning

confidence: 99%

Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Essa

Ahmed

Bapir

et al. 2021

Annals of Medicine &Amp; Surgery

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“…2,9,14,16,17 The management modalities for an aesthetically disfiguring and complicated aneurysm include surgical excision or endovascular coil embolization. 17 The treatment of choice for saccular aneurysms of the EJV is complete surgical excision without venous reconstruction through a longitudinal, lateral neck incision under general or local anesthesia with minimal intraoperative and postoperative complications. Intravenous coil embolization, along with percutaneous injection of sclerosant foam, has recently emerged as a minimally invasive alternative.…”

Section: Discussionmentioning

confidence: 99%

Isolated saccular aneurysm of the external jugular vein

et al. 2021

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“…Fusiform aneurysms are mostly congenital and will usually present in childhooddthey are also called phlebectasia. 3 Saccular aneurysms are mostly acquired and typically occur in adults. They can evolve spontaneously, secondarily from tumor, trauma, or inflammation, or be iatrogenic after neck surgery or catheterization.…”

mentioning

confidence: 99%

“…Although the natural history of a neck vein aneurysm is considered benign, a thrombosed external JVA (EJVA) causing undetected pulmonary embolism has been previously reported. 3 The management of JVA is controversial. To date, only three reviews of internal JVAs (IJVAs) have been reported.…”

mentioning

confidence: 99%

Comprehensive review with pooled analysis on external and internal jugular vein aneurysm

Nucera

Meuli

Janka

et al. 2022

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Objective: The aim of the present comprehensive review was to present an overview of the clinical presentation and treatment options for external (EJVAs) and internal jugular vein aneurysms (IJVAs) to help clinicians in evidence-based decision making.Methods: A systematic literature search was conducted in accordance with the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement and included MEDLINE, Embase, Cochrane Library, Scopus, WHO (World Health Organization) trial register, ClinicalTrials.gov, and the LIVIVO search portal. The inclusion criteria were studies of patients who had presented with IJVAs or EJVAs. The exclusion criteria were animal and cadaver studies and reports on interventions using the healthy jugular vein for access only (ie, catheterization). Analysis of the pooled data from all eligible case reports was performed.Results: From 1840 identified reports, 196 studies were eligible. A total of 256 patients with JVAs were reported, with 183 IJVAs and 73 EJVAs. IJVAs were reported to occur in 66% on the right side compared with the left side (P ¼ .011). The patients with IJVAs were mostly children (median age, 12 years; interquartile range, 5.8-45.2 years). The patients with EJVAs were young adults (median age, 30 years; interquartile range, 11.0-46.5 years). EJVAs were more frequently reported in women and IJVAs in men (P ¼ .008). Most of the patients were asymptomatic. Pulmonary embolization in association with thrombosed EJVAs was only reported for one patient. A report of the outcomes after surgery and conservative management was missing for w50% of the patients. No relevant complications were reported after ligation of the EJVA without reconstruction. Intracranial hypertension after ligation of the right-sided IJVA was reported in three children; in one of them, a pontine infarction was observed.Conclusions: JVAs are a disease of the younger population but can occur at any age. It seems to be safe to observe patients with nonthrombosed JVAs. However, in the presence of thrombus or pulmonary embolization, surgical treatment should be considered. A reconstruction technique of the IJVA with venous patency preservation should be preferred.

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Saccular aneurysm of external jugular vein with partial thrombosis

Cited by 9 publications

References 5 publications

Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Thrombosed external jugular vein aneurysm mimics to a branchial cyst: A novel case from Iraq and review of the literature

Isolated saccular aneurysm of the external jugular vein

Comprehensive review with pooled analysis on external and internal jugular vein aneurysm

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