Demir Berrin, Kantarci Mecit, Sumbullu M Akif, Yuce Ihsan
Atatürk University, Faculty of Medicine, Department of Radiology, Erzurum, Turkey.
Atatürk University, Faculty of Dentistry, Department of Oral Diagnosis and Oral Radiology, Erzurum, Turkey.
Eurasian J Med. 2008 Apr;40(1):33-5.
Venous malformation between the external and internal jugular vein characterized by nonfluctant, painless, and nonpulsatile swelling on the right side of his neck while the individual was singing was reported in a 45-year-old man. Interestingly, there was no skin lesion observed on his neck. The swelling increased in size when the patient was shouting (Valsalva maneuver) and diminished in size during periods of rest. Contrast enhanced multi detector computed tomography (MDCT) angiography indicated the presence of a venous malformation between the external and internal jugular vein. The patient was administered a conservative treatment strategy. Notably, only symptomatic malformations or lesions causing important aesthetic prejudice require surgical treatment. In this case, there were no symptoms or esthetic issues. Thus, we recommend diagnosis using MDCT imaging for vascular malformations at contraindicate magnetic resonance imaging (MRI).
据报道，一名45岁男性在唱歌时，其颈部右侧出现非波动性、无痛且无搏动性肿胀，经诊断为颈外静脉和颈内静脉之间的静脉畸形。有趣的是，其颈部未观察到皮肤病变。患者在喊叫（瓦尔萨尔瓦动作）时肿胀增大，休息时肿胀减小。对比增强多层螺旋计算机断层扫描（MDCT）血管造影显示颈外静脉和颈内静脉之间存在静脉畸形。该患者接受了保守治疗策略。值得注意的是，只有引起重要美学损害的有症状畸形或病变才需要手术治疗。在这种情况下，没有症状或美学问题。因此，我们建议在禁忌使用磁共振成像（MRI）的情况下，使用MDCT成像诊断血管畸形。
