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International Journal of Otolaryngology
Volume 2009, Article ID 535617, 4 pages
http://dx.doi.org/10.1155/2009/535617
Case Report

Acquired Jugular Vein Aneurysm

1Department of Otorhinolaryngology, Kymenlaakso Central Hospital, 48210 Kotka, Finland
2Helsinki University Central Hospital Laboratory (HUSLAB), Department of Pathology, Haartman Institute, University of Helsinki, 00014 Helsinki, Finland
3Department of Otorhinolaryngology, Helsinki University Central Hospital, 00290 Helsinki, Finland

Received 23 October 2008; Accepted 6 January 2009

Academic Editor: Collin S. Karmody

Copyright © 2009 Erkki Hopsu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Venous malformations of the jugular veins are rare findings. Aneurysms and phlebectasias are the lesions most often reported. We report on an adult patient with an abruptly appearing large tumorous mass on the left side of the neck identified as a jugular vein aneurysm. Upon clinical examination with ultrasound, a lateral neck cyst was primarily suspected. Surgery revealed a saccular aneurysm in intimate connection with the internal jugular vein. Histology showed an organized hematoma inside the aneurysmal sac, which had a focally thinned muscular layer. The terminology and the treatment guidelines of venous dilatation lesions are discussed. For phlebectasias, conservative treatment is usually recommended, whereas for saccular aneurysms, surgical resection is the treatment of choice. While an exact classification based on etiology and pathophysiology is not possible, a more uniform taxonomy would clarify the guidelines for different therapeutic modalities for venous dilatation lesions.