Mohanty Debajyoti, Jain Bhupendra Kumar, Garg Pankaj Kumar, Tandon Anupama
Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.
J Nat Sci Biol Med. 2013 Jan;4(1):223-5. doi: 10.4103/0976-9668.107296.
Jugular venous aneurysm is an extremely rare condition. The patients presented with a painless swelling in the neck that appears while coughing, straining, bending, or breath holding. Detection of a soft and compressible swelling in the course of an external jugular vein (EJV) superficial to the sternomastoid muscle, non-filling on compression of the EJV during Valsalva maneuver clinches the diagnosis of EJV aneurysm. Color Doppler ultrasound allows precise delineation of the lesion and is considered the gold standard for confirming the diagnosis. Surgical excision is indicated mostly for cosmetic reasons and symptomatic aneurysms. We, herein, report a patient with saccular external jugular venous aneurysm to highlight the typical clinical presentation and diagnosis of this rare entity.
颈静脉瘤是一种极其罕见的病症。患者表现为颈部无痛性肿胀，在咳嗽、用力、弯腰或屏气时出现。在胸锁乳突肌表面的颈外静脉（EJV）走行过程中检测到柔软且可压缩的肿胀，瓦尔萨尔瓦动作时压迫EJV不充盈可确诊为EJV动脉瘤。彩色多普勒超声可精确描绘病变，被认为是确诊的金标准。手术切除主要出于美容原因和有症状的动脉瘤。在此，我们报告一例囊状颈外静脉瘤患者，以突出这种罕见病症的典型临床表现和诊断。
