External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests
Introduction The differential diagnosis of a cystic upper neck mass that becomes prominent on coughing, straining, breath holding, or Valsalva manoeuvre includes mediastinal tumours and cysts, external laryngeal diverticula, and jugular venous aneurysms. Jugular venous aneurysms, while...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2020-07-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/162 |
| _version_ | 1797279698948980736 |
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| author | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick |
| author_facet | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick |
| author_sort | Somesh Mozumder |
| collection | DOAJ |
| description | Introduction
The differential diagnosis of a cystic upper neck mass that becomes prominent on coughing, straining, breath holding, or Valsalva manoeuvre includes mediastinal tumours and cysts, external laryngeal diverticula, and jugular venous aneurysms. Jugular venous aneurysms, while extremely rare, must be considered. We report the fifth case of anterior jugular aneurysm in an adult patient.
Case Report
A 55 year old female patient presented with a swelling in the upper part of right side of neck near the greater cornu of hyoid bone. The swelling increased with Valsalva, straining and while stooping forward. Clinically it was thought to be an external laryngocoele. However Colour Doppler Ultra-sonography and C.T angiogram of neck established it as of anterior jugular venous aneurysm by distinguishing from external laryngocoele.
Discussion
Patient presenting with unilateral cystic swelling in upper neck at upper border of thyroid cartilage which clinically bears the common provisional diagnosis of external laryngocele must be differentiated radiologically from anterior jugular venous aneurysm, (though rare in occurrence) to avoid a catastrophic incident during surgery. |
| first_indexed | 2024-03-07T16:29:46Z |
| format | Article |
| id | doaj.art-a5c08e26e8db4c85ac32ef1c3c008547 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T16:29:46Z |
| publishDate | 2020-07-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-a5c08e26e8db4c85ac32ef1c3c0085472024-03-03T11:24:18ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072020-07-0126110.47210/bjohns.2018.v26i1.162External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological TestsSomesh Mozumder0Shirish Dubey1Aniruddha Dam2Anup Kumar Bhowmick3Chittaranjan National Cancer Institute, KolkataCHITTARANJAN NATIONAL CANCER INSTITUTE. KOLKATACHITTARANJAN NATIONAL CANCER INSTITUTE. KOLKATACHITTARANJAN NATIONAL CANCER INSTITUTE. KOLKATAIntroduction The differential diagnosis of a cystic upper neck mass that becomes prominent on coughing, straining, breath holding, or Valsalva manoeuvre includes mediastinal tumours and cysts, external laryngeal diverticula, and jugular venous aneurysms. Jugular venous aneurysms, while extremely rare, must be considered. We report the fifth case of anterior jugular aneurysm in an adult patient. Case Report A 55 year old female patient presented with a swelling in the upper part of right side of neck near the greater cornu of hyoid bone. The swelling increased with Valsalva, straining and while stooping forward. Clinically it was thought to be an external laryngocoele. However Colour Doppler Ultra-sonography and C.T angiogram of neck established it as of anterior jugular venous aneurysm by distinguishing from external laryngocoele. Discussion Patient presenting with unilateral cystic swelling in upper neck at upper border of thyroid cartilage which clinically bears the common provisional diagnosis of external laryngocele must be differentiated radiologically from anterior jugular venous aneurysm, (though rare in occurrence) to avoid a catastrophic incident during surgery.https://bjohns.in/journal3/index.php/bjohns/article/view/162AneurysmNeckJugular Vein |
| spellingShingle | Somesh Mozumder Shirish Dubey Aniruddha Dam Anup Kumar Bhowmick External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests Bengal Journal of Otolaryngology and Head Neck Surgery Aneurysm Neck Jugular Vein |
| title | External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests |
| title_full | External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests |
| title_fullStr | External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests |
| title_full_unstemmed | External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests |
| title_short | External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests |
| title_sort | external laryngocoele or anterior jugular vein aneurysm a rare clinical entity a paradox solved by a few simple non invasive radiological tests |
| topic | Aneurysm Neck Jugular Vein |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/162 |
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