Ugwu Jideofor Okechukwu, Raymond Udoka Victor, Igwilo Innocent Ogundu, Ugwu Nwanneka Ogechukwu, Ifeanyi Emmanuel Samuel
Paediatric Surgery Unit, Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Paediatric Surgery Unit, Department of Surgery, Federal University Teaching Hospital, Owerri, Imo State, Nigeria.
J West Afr Coll Surg. 2025 Jul-Sep;15(3):355-358. doi: 10.4103/jwas.jwas_28_24. Epub 2024 Sep 2.
An aneurysm of the external jugular vein is exceptionally rare. Its occurrence in children could present diagnostic challenges due to numerous potential differential diagnoses, including anomalies such as branchial cysts.
This study aims to emphasize the necessity of raising suspicion for jugular venous aneurysms in children with cystic neck masses.
We report an 18-month-old boy with a left-sided neck swelling persisting for 10 months. The swelling was cystic and increased in size during straining or crying. A preoperative diagnosis of a branchial cyst was made but was inconsistent with intraoperative findings, where a venous aneurysm was diagnosed. Ligation and excision were performed without sequelae.
External jugular venous aneurysms, though rare, should be considered as a potential differential diagnosis in case of lateral neck swellings, especially if they demonstrate compressibility with an increase in size on Valsalva maneuvers. Simple ligation and excision are curative measures.
颈外静脉动脉瘤极为罕见。由于存在众多潜在的鉴别诊断，包括鳃裂囊肿等异常情况，其在儿童中的发生可能带来诊断挑战。
本研究旨在强调对患有颈部囊性肿块的儿童提高颈静脉动脉瘤怀疑度的必要性。
我们报告一名18个月大的男孩，左侧颈部肿胀持续10个月。肿胀呈囊性，在用力或哭闹时增大。术前诊断为鳃裂囊肿，但与术中发现不符，术中诊断为静脉动脉瘤。进行了结扎和切除，无后遗症。
颈外静脉动脉瘤虽罕见，但在颈部外侧肿胀的情况下应被视为潜在的鉴别诊断，特别是如果它们在瓦尔萨尔瓦动作时表现出可压缩性且大小增加。简单的结扎和切除是治愈性措施。
