Embolisation of External Jugular Vein Aneurysm: A Case Report
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Embolisation of External Jugular Vein Aneurysm: A Case Report
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Arvin Rajadurai, Aida Abdul Aziz, Noor Aida Mat Daud, Abdul Fatah Abdul Wahab, Ahmad Sobri Muda
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Embolisation of External Jugular Vein Aneurysm: A Case Report
Year: 2017 | Doi: 10.21315/mjms2017.24.6.14
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Venous aneurysms, particularly those affecting the external jugular vein, are relatively rare compared to their arterial counterparts and often raise debates regarding treatment management. This case report discusses a teenage boy with a left external jugular vein aneurysm, which was treated non-invasively through an endovascular technique involving embolization using pushable microcoils. The aim of the intervention was not only to address the physical implications of the aneurysm but also to explore a less invasive option compared to traditional surgical interventions.
Endovascular Treatment as a Less-Invasive Option
Endovascular treatment demonstrates an innovative approach to managing venous aneurysms, merging effectiveness with minimal invasiveness. The technique involves accessing the affected area through the femoral vein, leading to a direct puncture and subsequent successful embolization of the aneurysm using microcoils. This method allows for a more refined evaluation of the venous drainage system during the occlusion process while minimizing potential complications associated with surgical procedures, such as scarring and anesthesia risks. Post-procedure follow-ups confirmed that the intervention successfully resolved the patient's concerns about the cosmetic appearance of the aneurysm without significant complications.
Conclusion
The case highlights that endovascular treatment serves as a viable alternative for managing external jugular venous aneurysms, especially for patients seeking cosmetic improvement without the complications of traditional surgery. Such minimally invasive techniques offer promising outcomes and highlight the potential for similar methods to be utilized in managing other types of venous abnormalities, combining efficacy with patient-centered approaches that prioritize recovery and quality of life.
FAQ section (important questions/answers):
What are venous aneurysms and how do they form?
Venous aneurysms are isolated expansions or dilatations of a vein, resulting from a congenital weakness in the vessel wall. Secondary causes may include trauma, inflammation, or increased vascular pressure, such as with varicose veins.
How was the teenage boy's venous aneurysm treated?
The teenage boy underwent an endovascular treatment for his left external jugular vein aneurysm. An embolisation was performed using pushable microcoils through access via the femoral vein and direct puncture of the vein.
What are the benefits of endovascular treatment for venous aneurysms?
Endovascular treatment offers a minimally invasive approach with lower risk of complications. It avoids general anaesthesia and reduces scarring, making it a safer and more efficient option for treating venous aneurysms.
What was the outcome of the boy's treatment after follow-up?
After the treatment, the lesion slightly swelled but resolved completely within a month, showing no increase in size on valsalva, and a follow-up CT confirmed the successful embolisation.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Embolisation of External Jugular Vein Aneurysm: A Case Report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In the context of medical literature, a 'table' typically organizes data, clinical findings, or characteristics relevant to a study. It aids in summarizing and presenting information clearly, facilitating quick reference for researchers, clinicians, and readers. Tables often help visualize relationships between treatment options, outcomes, and patient demographics in studies related to medical conditions.
2) Swelling:
Swelling refers to an abnormal enlargement of body parts, often due to fluid accumulation, inflammation, or injury. In the context of the case report, it describes the left neck swelling experienced by the teenage boy. The clinical evaluation of swelling is crucial for diagnosing underlying conditions such as venous aneurysms.
3) Reason:
The term 'reason' indicates the justification or motive behind a treatment decision or medical intervention. In this case, cosmetic concerns prompted the patient to seek endovascular treatment for the jugular vein aneurysm. Understanding reasons for treatment choices helps clinicians provide patient-centered care tailored to individual preferences and values.
4) Meeting:
Meeting refers to gatherings of professionals or stakeholders to discuss specific topics. In medicine, meetings can involve case discussions, surgical planning, or multidisciplinary collaboration often aimed at improving patient outcomes. Such gatherings enhance knowledge sharing and can influence decisions, especially when reviewing rare cases like venous aneurysms.
5) Hari (Harin):
The name 'Hari' likely refers to an author or researcher involved in the case study or referenced literature. It highlights the contributions of individuals in advancing medical knowledge through case reports or studies. Author names are essential in establishing credibility and accountability within scientific communication.
6) Wall:
In a medical context, the term 'wall' often refers to the structural boundaries of a vessel or organ. In the case study, it mentions the 'vessel wall' weakness leading to the formation of a venous aneurysm. Understanding wall integrity is crucial in vascular pathologies and interventions.
7) Post:
The prefix 'post' typically indicates actions or conditions occurring after a specific event. In the medical setting, it often pertains to evaluations or treatments following procedures, such as 'post-operative care' or 'post-treatment assessments.' Monitoring post-procedure outcomes is essential in ensuring patient safety and efficacy of the treatment.
8) Inflammation:
Inflammation is a biological response to harmful stimuli, including infection or injury. It is characterized by redness, heat, swelling, and pain. In the context of the case report, inflammation could contribute to vein abnormalities. Understanding inflammatory processes helps guide therapeutic approaches in managing various medical conditions.
9) Discussion:
Discussion refers to a segment of medical literature where findings, implications, and insights are analyzed and interpreted. In the case report, the discussion helps contextualize the significance of the presented case within existing literature, offering comparisons, questions, and future directions in treating venous aneurysms.
10) Antibiotic (Antibacterial):
Antibiotics are medications used to treat bacterial infections. In the context of post-procedural care, antibiotics may be administered to prevent infection after procedures like embolisation. Their use is especially critical in minimizing complications and ensuring patient safety following surgical or invasive interventions.
11) Crying:
Crying, in medical contexts, can indicate emotional distress or be a physical response to pain or illness. In the case study, it is linked to situations where straining exacerbates symptoms. Understanding physical responses like crying can offer insights into patient discomfort levels and guide management strategies.
12) Study (Studying):
The term 'study' refers to a systematic investigation to discover or establish facts. In medical literature, it encompasses both observational and experimental research. The case report adds to the body of knowledge about venous aneurysms, thereby influencing clinical practices and future research directions.
13) Siti (Shiti):
Similar to 'Hari,' the name 'Siti' likely refers to a contributor or collaborator involved in the research or case study. The inclusion of names emphasizes teamwork and acknowledges the diverse skills and expertise necessary for comprehensive medical research and care delivery.
14) Pose:
To pose refers to presenting or constituting a particular issue or condition. In medical contexts, it can describe the risks or challenges that a condition entails, such as how a jugular vein aneurysm may pose complications. Understanding these poses helps in assessing patient care strategies.
15) Life:
In medical literature, 'life' often pertains to quality of life, health outcomes, or survival. It emphasizes the human aspect of health care, highlighting how conditions like venous aneurysms can impact a patient's daily activities and emotional well-being. Addressing life quality is crucial in any treatment plan.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Embolisation of External Jugular Vein Aneurysm: A Case Report’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Ari, Blood flow, Surgical intervention, Physical examination, Surgical management, Surgical excision, Temporal and spatial, Case report, Case presentation, Clinical assessment, CT scan, Thrombosis, Ultrasound, Conservative management, Thrombophlebitis, Scar formation, PubMed, Google Scholar, Femoral artery, Treatment option, Life threatening complications, Pulmonary embolism, Valsalva manoeuvre, Doppler Ultrasonography, Common carotid artery, General anaesthesia, Minimally Invasive, Differential diagnoses, Local injury, Cervical adenitis, Varicose Vein, Neck Swelling, Internal jugular vein, Endovascular treatment, NAMD, Jugular Vein, Surgical experience, Complete occlusion, Cosmetic reason, Endovascular technique, Venous drainage, Embolisation, Femoral vein access, Ultrasound guidance, External jugular vein, Femoral vein, External jugular, Vessel wall, Feeder vessel, Medical illness, Internal jugular, J Pediatr, Int J Pediatr, ASM, American College, Angiology.