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External jugular vein aneurysm presenting as submandibular neck mass.
Matthew I Saleem1, Tristan Tham1, Anise M Diaz1
1Department of Otolaryngology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.
Journal of Surgical Case Reports
|June 6, 2022
Summary
A rare neck mass in an 80-year-old female was diagnosed as an external jugular vein aneurysm. This condition, though uncommon, can be safely monitored outpatient if asymptomatic.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Head and Neck Surgery
Background:
- External jugular vein aneurysms are exceptionally rare causes of neck masses.
- Neck masses can present with varied etiologies, necessitating thorough diagnostic evaluation.
- Patient history of intermittent ear pain prompted investigation into the neck mass.
Observation:
- An 80-year-old female presented with an incidentally discovered left submandibular neck mass.
- The patient reported a several-year history of bilateral intermittent ear pain.
- Diagnostic workup confirmed the neck mass to be a left external jugular vein aneurysm.
Findings:
- The case highlights the rarity of external jugular vein aneurysms presenting as neck masses.
- The diagnosis was established after a comprehensive workup for the neck mass and ear pain.
- The aneurysm was located in the left external jugular vein.
Implications:
- Asymptomatic external jugular vein aneurysms may be managed conservatively with outpatient follow-up.
- Vascular surgery consultation is recommended for these rare venous anomalies.
- This case expands the differential diagnosis for neck masses and associated symptoms.
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