Case ReportOpen Access

How To Approach Internal Jugular Vein Aneurysm; A Rare Cause of Neck Mass

Volume 1 - Issue 6

**Ayşe Pelin Yiğider, Hasan Emre Koçak*, Hüseyin Avni Ulusoy and Mehmet Keskin**

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- Bakirkoy Dr Sadi Konuk Research and Educational Hospital Otorhinolaryngology Clinic, Istanbul
*Corresponding author: Hasan Emre koçak, Bakirköy Dr. Sadi Konuk Eğitim ve Araştirma Hastanesi, Zuhuratbaba Mah. Tevfik Sağlam Cad No: 11, Bakirköy, Istanbul, Türkiye

Received: November 09, 2017; Published: November 13, 2017

DOI: 10.26717/BJSTR.2017.01.000524

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Abstract

Venous aneurysms are rare entities especially while presenting neck mass. Internal Jugular vein anuerysms comprise a small part of all venous aneurysms.Natural history of the pathology depends on anatomic location. Surgical intervention is spared for symptomatic cases. We present a15 year old male who admitted to otorhinolaryngology clinic with expansile right lateral neck mass with out any pulsation. Physical examination revealed a normal morphology of cervial region. When the patient was asked to strain, an expansing soft painless mass appeared in the right supraclavicular region. The mass disappeared when the patient breathed normally. Lateral cervical cyst was suspected. Ultrasonography and magnetic resonance imaging with venography sequences were ordered. Dynamic measurements showed enlargement of right internal juguler vein with cross sectional diameter of 39 mm at proximal segment of the vein and reaching 59 mm vertically. Echocardiographic evaluation and thorax imaging showed no accompanying pathology. Doppler ultrasound showed well mucosal lining with substantial muscular layer without any thrombotic focus. Direction of flow was toward subclavian vein. Conservative approach was preffered for the case. Patient was followed up on for 1 year with no additonal symptom.

Keywords: Jugular vein; Aneurysm; Neck mass