“…The clinical presentation of an external jugular vein aneurysm is usually a painless cervical swelling that may gradually increase in size. In the presence of a unilateral, non-tender and non-pulsatile swelling that enlarges with straining, sneezing or valsalva maneuver, one should be suspicious of a venous aneurysm [ 6 ]. Differential diagnosis for such lesion includes lymph node, laryngocele, thyroid lesion, lipoma, thyroglossal cysts, branchial cyst, cavernous hemangioma, pharyngeal pouch and arterial aneurysm.…”