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颈内静脉重复畸形:病例报告

Duplication of internal jugular veins: case report.

作者信息

Wong B Y W, Strachan D R, Loney E L

机构信息

Department of Ear, Nose and Throat, Bradford Royal Infirmary, UK.

出版信息

J Laryngol Otol. 2010 Mar;124(3):341-4. doi: 10.1017/S0022215109990855. Epub 2009 Aug 19.

Abstract

OBJECTIVES

We report a rare case of internal jugular vein duplications, in order to raise the level of awareness of this anomaly amongst ENT surgeons, radiologists and intensive care practitioners. We briefly review and discuss the related literature.

CASE REPORT

Duplicated internal jugular veins are a rare anatomical finding. They may be subclinical, or may present with neck swellings that may be mistaken for laryngocoeles or branchial cysts. We present a case of bilateral internal jugular vein duplication in a young adult. The referral was made on the basis of intermittent neck swelling, dyspnoea and dysphagia. Conservative treatment was instigated, and symptoms improved without surgical intervention.

CONCLUSIONS

Only a handful of cases of duplicated internal jugular veins have been reported. The current case is unique, as no previously reported cases have presented with dyspnoea and dysphagia. We suggest a conservative approach, as there is currently no evidence that duplicated internal jugular veins cause any adverse health outcomes.

摘要

目的

我们报告一例罕见的颈内静脉重复畸形病例,以提高耳鼻喉科医生、放射科医生和重症监护医生对这种异常情况的认识。我们简要回顾并讨论相关文献。

病例报告

颈内静脉重复畸形是一种罕见的解剖学发现。它们可能是亚临床的,或者可能表现为颈部肿胀,可能被误诊为喉气囊肿或鳃裂囊肿。我们报告一例年轻成人双侧颈内静脉重复畸形病例。该病例因间歇性颈部肿胀、呼吸困难和吞咽困难前来就诊。采取了保守治疗,症状在未进行手术干预的情况下得到改善。

结论

仅报告了少数颈内静脉重复畸形病例。当前病例具有独特性,因为之前报道的病例均未出现呼吸困难和吞咽困难的症状。我们建议采取保守方法,因为目前没有证据表明颈内静脉重复畸形会导致任何不良健康后果。

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