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<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="allergy-and-immunology" lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher">JOHS</journal-id>
      <journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
      <journal-title-group>
        <journal-title>Journal of HealthCare Sciences</journal-title>
        <abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2231-2196</issn>
      <issn pub-type="opub">0975-5241</issn>
      <publisher>
        <publisher-name>Radiance Research Academy</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">285</article-id>
      <article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2024.40901</article-id>
      <article-id pub-id-type="doi-url"/>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Allergy and Immunology</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Venous Varix of the External Jugular Vein: A Case Report&#13;
</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Almalki</surname>
            <given-names>Fahad</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Alnefaie</surname>
            <given-names>Samaher</given-names>
          </name>
        </contrib>
      </contrib-group>
      <pub-date pub-type="ppub">
        <day>4</day>
        <month>09</month>
        <year>2024</year>
      </pub-date>
      <volume>4</volume>
      <issue>9</issue>
      <fpage>333</fpage>
      <lpage>337</lpage>
      <permissions>
        <copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
        <copyright-year>2009</copyright-year>
        <license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Background: Venous dilations of the jugular veins are uncommon and external jugular varix even rarer. Venous varices arise with arteriovenous malformations, developmental venous anomalies and rarely as singular lesions. Most commonly, they appear as focal dilatations of the venous drainage of arteriovenous malformations. The preliminary diagnosis of venous varix is usually incorrect or overlooked due to inadequate clinical evaluation. Therefore, either imaging studies or histopathological analysis are crucial for concluding at the definitive diagnosis. However, the documented instances of venous varix in literature are scarce, with even fewer references regarding its investigative approaches and treatment modalities. We present here a unique case of external jugular vein varix in a female patient diagnosed at our clinic.&#13;
&#13;
Case presentation: A 29-year-old female patient presented to the department of ENT with complaint of right neck swelling for the past three years. There was no significant medical and surgical history. Her physical examination was unremarkable, except for a soft, compressible mass lateral to the sternocleidomastoid muscle, which became more prominent whilst performing the Valsalva maneuver. The initial X-ray performed did not show any air-filled sac or soft tissue mass that could define the cause for the swelling on straining. Hence the patient was then referred for ultrasound scan of the neck which showed a thin walled, compressible, cystic lesion in the right side of the neck, which was confirmed upon doppler study as dilation of the lower third of the right external jugular vein. A computed tomography scan of the neck and thorax further performed showed asymmetry of the two external jugular veins, the right external jugular vein was dilated and very torturous but appeared patent still. The diagnosis of venous varix was suggested.&#13;
&#13;
Conclusion: Our case significantly highlights the role of radiological evaluation in the confirmatory diagnosis of this rare entity additionally emphasizing the consideration of venous varix in clinical practice whenever patients present with swelling that manifests on coughing or other strenuous actions to avoid misdiagnosis and prevent complications.&#13;
</p>
      </abstract>
      <kwd-group>
        <kwd>Venous varix</kwd>
        <kwd> dilations</kwd>
        <kwd> jugular vein</kwd>
        <kwd> thorax</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>