A large and complex saccular external jugular vein aneurysm in an adolescent girl

Venous aneurysms of the head and neck region are very uncommon. Aneurysms of the external jugular vein in children are exceedingly rare, and consequently the best approach to diagnosis and management has not been clearly defined. We present the case of a 15-year-old girl with a non-pulsatile, occasi...

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Main Authors: Claire A. Ostertag-Hill, Danielle B. Cameron, Leonardo R. Brandão, Philip R. John, Heung Bae Kim, Steven J. Fishman
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576621002724
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author Claire A. Ostertag-Hill
Danielle B. Cameron
Leonardo R. Brandão
Philip R. John
Heung Bae Kim
Steven J. Fishman
author_facet Claire A. Ostertag-Hill
Danielle B. Cameron
Leonardo R. Brandão
Philip R. John
Heung Bae Kim
Steven J. Fishman
author_sort Claire A. Ostertag-Hill
collection DOAJ
description Venous aneurysms of the head and neck region are very uncommon. Aneurysms of the external jugular vein in children are exceedingly rare, and consequently the best approach to diagnosis and management has not been clearly defined. We present the case of a 15-year-old girl with a non-pulsatile, occasionally painful, enlarging fullness in her right supraclavicular fossa and neck. Imaging demonstrated a large and complex right external jugular vein aneurysm with thrombus. Given the symptomatic nature of this aneurysm, recurrent episodes of thrombosis, and the risk of thromboembolism, she underwent surgical excision. Thorough pre-operative planning with additional imaging to better understand the anatomy of this aneurysm was critical to a safe and successful intervention.
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spelling doaj.art-88f5bb00b2144ec3ae25847aa7f7da0e2022-12-21T22:28:43ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-11-0174102051A large and complex saccular external jugular vein aneurysm in an adolescent girlClaire A. Ostertag-Hill0Danielle B. Cameron1Leonardo R. Brandão2Philip R. John3Heung Bae Kim4Steven J. Fishman5Vascular Anomalies Center, Department of Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, United StatesDepartment of Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, United StatesDepartment of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, CanadaDepartment of Diagnostic Imaging, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, CanadaDepartment of Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, United StatesVascular Anomalies Center, Department of Surgery, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, United States; Corresponding author.Venous aneurysms of the head and neck region are very uncommon. Aneurysms of the external jugular vein in children are exceedingly rare, and consequently the best approach to diagnosis and management has not been clearly defined. We present the case of a 15-year-old girl with a non-pulsatile, occasionally painful, enlarging fullness in her right supraclavicular fossa and neck. Imaging demonstrated a large and complex right external jugular vein aneurysm with thrombus. Given the symptomatic nature of this aneurysm, recurrent episodes of thrombosis, and the risk of thromboembolism, she underwent surgical excision. Thorough pre-operative planning with additional imaging to better understand the anatomy of this aneurysm was critical to a safe and successful intervention.http://www.sciencedirect.com/science/article/pii/S2213576621002724Venous aneurysmExternal jugular veinVenous malformationThrombosis
spellingShingle Claire A. Ostertag-Hill
Danielle B. Cameron
Leonardo R. Brandão
Philip R. John
Heung Bae Kim
Steven J. Fishman
A large and complex saccular external jugular vein aneurysm in an adolescent girl
Journal of Pediatric Surgery Case Reports
Venous aneurysm
External jugular vein
Venous malformation
Thrombosis
title A large and complex saccular external jugular vein aneurysm in an adolescent girl
title_full A large and complex saccular external jugular vein aneurysm in an adolescent girl
title_fullStr A large and complex saccular external jugular vein aneurysm in an adolescent girl
title_full_unstemmed A large and complex saccular external jugular vein aneurysm in an adolescent girl
title_short A large and complex saccular external jugular vein aneurysm in an adolescent girl
title_sort large and complex saccular external jugular vein aneurysm in an adolescent girl
topic Venous aneurysm
External jugular vein
Venous malformation
Thrombosis
url http://www.sciencedirect.com/science/article/pii/S2213576621002724
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