Venous aneurysms originating from the External Jugular Vein (EJV) are uncommon, with those arising from the internal jugular vein being more prevalent. Spontaneous EJV aneurysms are exceedingly rare, leading to ongoing debates regarding their management [1]. Varix of the EJV often manifests as an abnormal sacculofusiform dilation, typically discovered incidentally, and its etiology remains unclear. The preferred diagnostic method involves ultrasonography with Doppler before, during, and after the Valsalva manoeuvre. A high index of suspicion is essential for diagnosing this condition [2]. These aneurysms are typically viewed as benign abnormalities requiring treatment primarily for cosmetic reasons, with open surgical intervention being the preferred therapeutic approach [3].
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Sunar et al. (2024) studied this question.
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