Abdul-Hafez Hamza A, Zayed Alaa, Hawawrah Abdullah Raed, Barakat Mohammed A, Hasan Alaa, Alawneh Mahmoud
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Department of Radiology, Rafidia Surgical Hospital, Nablus, Palestine.
Medicine (Baltimore). 2025 Jul 18;104(29):e43278. doi: 10.1097/MD.0000000000043278.
Subclavian vein aneurysms are an exceedingly rare vascular anomaly, often diagnosed incidentally due to their nonspecific or absent clinical manifestations. Due to the limited number of reported cases and the lack of standardized diagnostic and management protocols, clinical decision-making remains challenging. This report presents a rare incidental case managed conservatively and is accompanied by a comprehensive literature review to consolidate existing knowledge on clinical presentation, associated risk factors, imaging modalities, and management approaches. By synthesizing available data, this study aims to support clinicians in recognizing this unusual entity and guide evidence-informed, individualized management strategies in the absence of formal guidelines.
A 37-year-old previously healthy male presented with persistent posterior neck pain for 1 month.
Imaging studies, including magnetic resonance angiography and computed tomography angiography, identified a fusiform aneurysmal dilation of the right subclavian vein measuring 2.2 × 2.0 × 1.7 cm.
A multidisciplinary team decided on conservative management, focusing on lifestyle modifications, analgesics, and closed follow-up, as the aneurysm was stable and asymptomatic regarding vascular complications.
During follow-up at 3, 6, and 12 months, the patient experienced gradual symptom improvement. Imaging confirmed the aneurysm remained stable without complications.
This case highlights the importance of considering subclavian vein aneurysms in the differential diagnosis of neck pain and supraclavicular masses. It further emphasizes the important role of imaging in their identification and monitoring. By reviewing previously reported cases, this study contributes valuable insights into their clinical presentation, diagnostic modalities, and management strategies.
锁骨下静脉动脉瘤是一种极为罕见的血管异常，常因临床表现不特异或无临床表现而偶然被诊断。由于报告的病例数量有限且缺乏标准化的诊断和管理方案，临床决策仍然具有挑战性。本报告介绍了一例罕见的偶然病例，采用保守治疗，并伴有全面的文献综述，以巩固关于临床表现、相关危险因素、影像学检查方法和管理方法的现有知识。通过综合现有数据，本研究旨在支持临床医生识别这种不寻常的疾病，并在缺乏正式指南的情况下指导基于证据的个体化管理策略。
一名37岁既往健康的男性因持续颈部后侧疼痛1个月前来就诊。
影像学检查，包括磁共振血管造影和计算机断层血管造影，发现右锁骨下静脉呈梭形动脉瘤样扩张，大小为2.2×2.0×1.7厘米。
一个多学科团队决定采取保守治疗，重点是生活方式调整、使用镇痛药以及密切随访，因为该动脉瘤稳定且无血管并发症相关症状。
在3个月、6个月和12个月的随访期间，患者症状逐渐改善。影像学检查证实动脉瘤保持稳定，无并发症。
本病例突出了在颈部疼痛和锁骨上肿块的鉴别诊断中考虑锁骨下静脉动脉瘤的重要性。它进一步强调了影像学在其识别和监测中的重要作用。通过回顾先前报告的病例，本研究为其临床表现、诊断方法和管理策略提供了有价值的见解。
