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A Journal on Phlebology

Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2014 December;15(3):149-51

language: English

Internal jugular vein aneurysm presenting after emesis episode

De Oliveira Góes Junior A. M. 1. 2, Monteiro Franco R. S. 1, De Campos Vieira Abib S. 2

1 University Center of Pará State (CESUPA), Belém, Brazil;
2 Federal University of São Paulo (UNIFESP), São Paulo, Brazil


True venous aneurysms are rarely encountered compared to arterial ones; even though they can affect any vein, venous aneurysms of the neck are not common because of the low blood pressure in the vena cava system. Furthermore being scarce, 75% percent of all jugular vein aneurysms cases are diagnosed in children. These aneurysms most commonly present as soft, painless, compressible neck masses that enlarge during Valsalva maneuver. Because jugular vein aneurysms have such a low incidence, treatment guidelines are not clearly established but most authors agree that if these aneurysms are symptomatic, enlarging, disfiguring a surgical intervention is suitable. The authors present an unusual case of a voluminous internal jugular vein aneurysm in a 40 year-old woman. The patient developed a progressive enlarging cervical bulging after an intense emesis episode five years before. The mass enlarged over the years and when the patient sought for treatment she described aesthetical complaints and a sensation like the bulge “was about to rupture” during situations associated with increased central venous. The aneurysm was managed by cervicotomy and jugular vein ligature and the patient had an uneventful postoperative recovery. The authors provide a brief review of diagnosis aspects and treatment options for this disease.

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