Essa Rawand A, Ahmed Sirwan K, Bapir Dunya H, Rasul Shero A, Abubakr Chawan P, Hamad Shiwan Q
Ph.D. in Cardiothoracic and Vascular Surgery, Lecturer in the University of Raparin, College of Nursing, Department of Adult Nursing, Rania, Sulaimani, Kurdistan-region, Iraq.
European Society for Thoracic Surgery (ESTS) Active Member, Iraq.
Ann Med Surg (Lond). 2021 Jun 29;67:102533. doi: 10.1016/j.amsu.2021.102533. eCollection 2021 Jul.
Venous aneurysms are rare diseases, and according to their locations, history will change. They will be diagnosed based on the clinical history and imaging modalities. The exact incidence of external jugular vein aneurysm remains controversial. In the neck, venous aneurysm has been reported most commonly in the internal jugular vein. Frequently the venous aneurysm has a fusiform shape, and the saccular type is extremely rare.
Here we present a case of the external jugular vein aneurysm which was misdiagnosed as a branchial cyst presented with gradual swelling in the left supraclavicular region. The patient was diagnosed intraoperatively, and by histopathological examination. The patient successfully underwent surgery of Proximal and distal control of the external jugular vein without resection of the clavicle were performed, and -fixation of the external jugular vein was done without any complications.
Idiopathic, spontaneous venous aneurysm of the external jugular vein thrombosis is extremely rare clinical findings. Computerized tomography was the gold standard test for the diagnosis of venous thrombosis, but nowadays neck ultrasound is the diagnostic test of choice. However, the mass was like a branchial cyst by ultrasound.
External jugular vein aneurysm is rare, when it was a saccular type and thrombosed without any causes it will be extremely rare. When idiopathic thrombosis of external jugular vein aneurysm was confirmed by imaging modalities, then it was symptomatic, enlarged, ruptured or disfigured, the surgical excision will be mandatory without anticoagulant drugs preoperatively or postoperatively.
静脉瘤是罕见疾病，根据其位置不同，病史也会有所变化。它们将依据临床病史和影像学检查手段进行诊断。颈外静脉瘤的确切发病率仍存在争议。在颈部，静脉瘤最常见于颈内静脉。静脉瘤通常呈梭形，囊状型极为罕见。
在此我们呈现一例颈外静脉瘤病例，该病例最初被误诊为鳃裂囊肿，表现为左锁骨上区域逐渐肿胀。患者在术中及通过组织病理学检查得以确诊。患者成功接受了颈外静脉远近端控制手术，未切除锁骨，且颈外静脉固定术顺利完成，未出现任何并发症。
颈外静脉特发性、自发性血栓形成的静脉瘤是极为罕见的临床表现。计算机断层扫描曾是诊断静脉血栓形成的金标准检查，但如今颈部超声是首选的诊断检查方法。然而，通过超声检查该肿块类似鳃裂囊肿。
颈外静脉瘤较为罕见，囊状型且无任何原因发生血栓形成则极为罕见。当通过影像学检查确诊为颈外静脉瘤特发性血栓形成，且出现症状、肿大、破裂或变形时，术前或术后无需使用抗凝药物，手术切除是必要的。
