Keywords
Venous pseudoaneurysm
Neck swelling
Surgical management
Case report
Categories
How to Cite
Abstract
Jugular venous pseudoaneurysm represents an exceedingly rare vascular abnormality and may present as an atraumatic neck mass. We report the clinical presentation, imaging findings, operative management under local anesthesia, anticoagulation strategy, and follow-up of a patient with a thrombosed jugular venous pseudoaneurysm after exclusion of common secondary causes. Duplex ultrasonography and CT angiography confirmed the diagnosis and guided surgical planning; complete excision with preservation of venous continuity was performed without perioperative complications, and follow-up duplex at 3 months demonstrated no recurrence.
A jugular venous pseudoaneurysm should be considered in the differential diagnosis of atraumatic neck swelling; management should be individualized based on symptoms, thrombus burden, and imaging findings, with surgery favored for symptomatic or thrombosed lesions.
References
1. Dogan SN, Kazci ZN, Kavuncu SB, Bayrak AH. Spontaneous external jugular vein pseudoaneurysm treated by thrombin injection: Case report and literature review. J Clin Ultrasound. 2020: 294 [PMID: 31981367, https://doi.org/10.1002/jcu.22816]
2. Schummer W, Schummer C, Voigt R, Heyne J, Steenbeck J. [Pseudoaneurysm--a rare complication of internal jugular vein cannulation: two case reports in liver transplant patients]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2003: 542 [PMID: 12905112, https://doi.org/10.1055/s-2003-41191]
3. Pollard J, Abu-Yousef M. Internal jugular vein pseudoaneurysm. Ultrasound Q. 2014: 225 [PMID: 25148499, https://doi.org/10.1097/RUQ.0000000000000095]
4. Boutakioute B, Benzalim M, Chehboun A, Ouali M, Ganouni N. Spontaneous external jugular vein pseudoaneurysm: A rare cause of neck swelling. Radiol Case Rep. 2022: 4790 [PMID: 36238217, https://doi.org/10.1016/j.radcr.2022.09.017]
5. Bartholomew JR, Smolock CJ, Kirksey L, Lyden SP, Badrinathan B, Whitelaw S, Bhandari R. Jugular Venous Aneurysm. Ann Vasc Surg. 2020: 567 e5 [PMID: 32439525, https://doi.org/10.1016/j.avsg.2020.04.075]
6. El Youbi S, Naouli H, Jiber H, Bouarhroum A. External jugular vein spontaneous aneurysm: a case report. J Surg Case Rep. 2022: rjac134 [PMID: 35586482, https://doi.org/10.1093/jscr/rjac134]
7. Papes D, Cavar S. External jugular vein pseudoaneurysm in a 2-year-old child. J Vasc Surg Venous Lymphat Disord. 2023: 1288 [PMID: 37863552, https://doi.org/10.1016/j.jvsv.2023.05.012]
8. Vermeer NC, Elshof JW, Vriens PW. Clinical presentation, diagnosis, and treatment of venous aneurysms. J Vasc Surg Venous Lymphat Disord. 2014: 349 [PMID: 26993399, https://doi.org/10.1016/j.jvsv.2014.02.007]
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Didem Melis Oztas, Yunus Emre Akpinar, Yilmaz Onal, Murat Ugurlucan