Comparative Analysis of Ultrasound Diagnosis and Pathological Characteristics
of External Jugular Venous Aneurysm

Liyuan      Cui; Tiezheng      Wang; Lihua      Liu; Jianbo      Teng; Hengtao      Qi

doi:10.2174/1573405620666230714110928

Abstract

Purpose: This study aimed to investigate the diagnosis of the external jugular venous aneurysm on color Doppler ultrasound and its relationship with pathological characteristics.

Methods: A retrospective analysis of 17 patients with external jugular venous aneurysm admitted to the Provincial Hospital Affiliated with Shandong First Medical University from May, 2010, to June, 2020, was performed. The color Doppler ultrasound characteristics of 17 patients with external jugular vein aneurysms were analyzed and summarized, which were then compared with postoperative pathological outcomes.

Results: All 17 patients with external jugular venous aneurysms were presented with cystic structures adjacent to and communicated with the external jugular vein. Color Doppler flow imaging showed a bidirectional venous flow signal in the communication between the cystic structure and the external jugular vein. Among the 17 patients, ultrasound diagnosis showed true venous aneurysm due to degenerative changes in the venous wall in 8 cases, venous pseudoaneurysm in 4 cases, and external jugular venous aneurysm in 5 cases, and postoperative pathology indicated degenerative changes in the venous wall in all 17 patients.

Conclusion: Bidirectional blood flow at the communication between the cystic lesion and the external jugular vein on color Doppler ultrasound should not be the criterion for the diagnosis of external jugular venous pseudoaneurysm, which requires pathological support.

[1]
Pollard J, Abu-Yousef M. Internal jugular vein pseudoaneurysm. Ultrasound Q  2014; 30(3): 225-7.
 [http://dx.doi.org/10.1097/RUQ.0000000000000095] [PMID: 25148499]

[2]
Dogan SN, Kazcı ZN, Kavuncu SB, Bayrak AH. Spontaneous external jugular vein pseudoaneurysm treated by thrombin injection: Case report and literature review. J Clin Ultrasound  2020; 48(5): 294-7.
 [http://dx.doi.org/10.1002/jcu.22816] [PMID: 31981367]

[3]
Abbott OA, Leigh TF. Aneurysmal dilatations of the superior vena caval system. Ann Surg  1964; 159(6): 858-72.
 [http://dx.doi.org/10.1097/00000658-196406000-00004] [PMID: 14170288]

[4]
Kim SW, Chang JW, Lee S. Unusual presentation of a cervical mass revealed as external jugular venous aneurysm. Vasc Spec Int  2016; 32(4): 205-7.
 [http://dx.doi.org/10.5758/vsi.2016.32.4.205] [PMID: 28042563]

[5]
Lucatelli P, Tommasino G, Guaccio G, et al. External jugular vein spontaneous aneurysm, diagnosis, and treatment with video. Annals of Vascular Surgery  2017; 41: 282.e11-3.
 [http://dx.doi.org/10.1016/j.avsg.2016.09.017]

[6]
Pillai HJ, Roy N, Rao PP, Shergill KK, Shelly D, Badarudeen B. Isolated saccular aneurysm of the external jugular vein. Autops Case Rep  2021; 11: e2020188.
 [http://dx.doi.org/10.4322/acr.2020.188] [PMID: 33968813]

[7]
Chandran A, Kumar D, Kumar R, Sharma N, Kumar R. External jugular vein aneurysm: A rare cause of fluctuating neck swelling. Intern Emerg Med  2021; 16(6): 1707-9.
 [http://dx.doi.org/10.1007/s11739-020-02514-w] [PMID: 33006739]

[8]
Ermini L, Ferraresi C, De Benedictis C, Roatta S. Objective assessment of venous pulse wave velocity in healthy humans. Ultrasound Med Biol  2020; 46(3): 849-54.
 [http://dx.doi.org/10.1016/j.ultrasmedbio.2019.11.003] [PMID: 31810802]

[9]
Sasaki S, Murakami N, Matsumura Y, Ichimura M, Mori M. Relationship between tourniquet pressure and a cross-section area of superficial vein of forearm. Acta Med Okayama  2012; 66(1): 67-71.
 [http://dx.doi.org/10.18926/AMO/48083] [PMID: 22358141]

[10]
Thakur UK, Savlania A, Naik AL, Singh C, Chatterjee D, Gorsi U. Clinical profile and management of external jugular vein aneurysms. Phlebology  2021; 36(5): 401-6.
 [http://dx.doi.org/10.1177/0268355520975583] [PMID: 33251950]

[11]
Lahlou N, Zahdi O, Hormat-Allah M, et al. False aneurysm of the superficial temporal artery. J Med Vasc  2020; 45(2): 88-9.
 [http://dx.doi.org/10.1016/j.jdmv.2020.01.155] [PMID: 32265021]

[12]
Mahanta D, Mahapatra R, Barik R, Singh J, Sathia S, Mohanty S. Surgical repair of postcatheterization radial artery pseudoaneurysm. Clin Case Rep  2020; 8(2): 355-8.
 [http://dx.doi.org/10.1002/ccr3.2643] [PMID: 32128188]

[13]
Jung SC, Lee W, Chung JW, et al. Unusual causes of varicose veins in the lower extremities: CT venographic and Doppler US findings. Radiographics  2009; 29(2): 525-36.
 [http://dx.doi.org/10.1148/rg.292085154] [PMID: 19325063]

[14]
Chapman DR, Ho RE, Gangemi A. A case report of a rare, spontaneous external jugular vein aneurysm. Int J Surg Case Rep  2018; 52: 8-10.
 [http://dx.doi.org/10.1016/j.ijscr.2018.09.008] [PMID: 30300791]

[15]
Wallace P, Haber J. Rare external jugular vein pseudoaneurysm. Clin Pract Cases Emerg Med  2020; 4(2): 214-8.
 [http://dx.doi.org/10.5811/cpcem.2019.12.45076] [PMID: 32426676]

[16]
Wen C, Liu R, Liu M, Sun L, Wang Z, Tang J. Saccular neck venous aneurysm on color duplex sonography: An analysis of 12 cases. Clin Imaging  2009; 33(6): 424-9.
 [http://dx.doi.org/10.1016/j.clinimag.2009.01.016] [PMID: 19857801]

Rights & Permissions Print Cite

Journal Information

For Authors

For Editors

For Reviewers

Explore Articles

For Visitors

DOI https://dx.doi.org/10.2174/1573405620666230714110928	Print ISSN 1573-4056
Publisher Name Bentham Science Publisher	Online ISSN 1875-6603

Current Medical Imaging

Comparative Analysis of Ultrasound Diagnosis and Pathological Characteristics of External Jugular Venous Aneurysm

Abstract Play Pause

Related Books

Abstract