Laachoubi Mohammed, Chebaatha Anas, Oukessou Youssef, Mahtar Mohamed
ENT Department, Face and Neck Surgery, Hospital August, 20'1953, University Hospital Center IBN ROCHD, Casablanca, Morocco.
ENT Department, Face and Neck Surgery, Hospital August, 20'1953, University Hospital Center IBN ROCHD, Casablanca, Morocco.
Int J Surg Case Rep. 2023 May;106:108225. doi: 10.1016/j.ijscr.2023.108225. Epub 2023 Apr 18.
Retromandibular vein ectasia is a rare lesion that is often misdiagnosed and should be considered in the differential diagnosis of neck masses. An accurate radiological diagnosis can avoid unnecessary invasive procedures.
A 63-year-old patient presented with positional, left parotid swelling, whose ultrasound and magnetic resonance angiography indicated retromandibular vein ectasia. Therefore, no intervention or follow-up was needed for the lesion because it was asymptomatic.
Retromandibular venous ectasia is an unusual focal dilatation of the retromandibular vein that occurs without thrombosis or obstruction of the proximal veins. They may present as an intermittent swelling of the neck, which is triggered by the Valsalva maneuver. Contrast-enhanced MRI is the preferred imaging modality for diagnosis, interventional planning, and evaluation of post-therapeutic efficacy. Conservative or surgical management depends on clinical symptomatology.
Retromandibular vein ectasia is a rare and generally misdiagnosed condition. It should be considered in the differential diagnosis of neck masses. Appropriate radiological investigation allows early diagnosis and prevents unnecessary invasive. Management is conservative in the absence of significant symptoms and risks.
下颌后静脉扩张是一种罕见的病变，常被误诊，在颈部肿块的鉴别诊断中应予以考虑。准确的放射学诊断可避免不必要的侵入性操作。
一名63岁患者出现左侧腮腺随体位变化的肿胀，其超声和磁共振血管造影显示下颌后静脉扩张。因此，该病变无需干预或随访，因为它无症状。
下颌后静脉扩张是下颌后静脉一种不寻常的局灶性扩张，发生时近端静脉无血栓形成或阻塞。它们可能表现为颈部间歇性肿胀，由瓦尔萨尔瓦动作诱发。增强磁共振成像（MRI）是诊断、介入治疗规划及评估治疗后疗效的首选影像学检查方法。保守治疗或手术治疗取决于临床症状。
下颌后静脉扩张是一种罕见且常被误诊的疾病。在颈部肿块的鉴别诊断中应予以考虑。适当的放射学检查可实现早期诊断并避免不必要的侵入性操作。在无明显症状和风险的情况下，治疗采取保守方式。
