Retromandibular vein ectasia : A parotid mass mimicker

Retromandibular venous ectasia is a rare lesion that may imitate a parotid gland mass. Accurate radiological diagnosis prevents unnecessary invasive procedures. We present the case of a 69-year-old male patient presenting a right-sided, painless, compressible parotid region mass, fluctuating in size...

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Autores principales: Hanae Ramdani, MD, Khadija Benelhosni, MD, Nabil Moatassim Billah, MD, Ittimade Nassar, MD
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
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MRI
Acceso en línea:https://doaj.org/article/a9dc1518c6dd40c090970dca755c97b4
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spelling oai:doaj.org-article:a9dc1518c6dd40c090970dca755c97b42021-11-30T04:15:11ZRetromandibular vein ectasia : A parotid mass mimicker1930-043310.1016/j.radcr.2021.10.019https://doaj.org/article/a9dc1518c6dd40c090970dca755c97b42022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007354https://doaj.org/toc/1930-0433Retromandibular venous ectasia is a rare lesion that may imitate a parotid gland mass. Accurate radiological diagnosis prevents unnecessary invasive procedures. We present the case of a 69-year-old male patient presenting a right-sided, painless, compressible parotid region mass, fluctuating in size with head position and Valsalva maneuver. No thrill was palpable on physical examination. Doppler ultrasound demonstrated an anechoic compressible intra-parotid lesion, with luminal color filling, and venous spectral waveform.Contrast-enhanced computed tomography and Magnetic resonance angiography of the neck revealed an ectatic retromandibular vein. The patient was conservatively managed and regularly followed up. No complications occurred. Cervical region venous ectasias are rare and commonly misdiagnosed. They should be considered in the soft neck masses differential diagnosis. Imaging plays a key diagnostic role.Hanae Ramdani, MDKhadija Benelhosni, MDNabil Moatassim Billah, MDIttimade Nassar, MDElsevierarticleRetromandibular veinVenous ectasiaDoppler ultrasoundComputed tomographyMRIMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 161-165 (2022)
institution DOAJ
collection DOAJ
language EN
topic Retromandibular vein
Venous ectasia
Doppler ultrasound
Computed tomography
MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
spellingShingle Retromandibular vein
Venous ectasia
Doppler ultrasound
Computed tomography
MRI
Medical physics. Medical radiology. Nuclear medicine
R895-920
Hanae Ramdani, MD
Khadija Benelhosni, MD
Nabil Moatassim Billah, MD
Ittimade Nassar, MD
Retromandibular vein ectasia : A parotid mass mimicker
description Retromandibular venous ectasia is a rare lesion that may imitate a parotid gland mass. Accurate radiological diagnosis prevents unnecessary invasive procedures. We present the case of a 69-year-old male patient presenting a right-sided, painless, compressible parotid region mass, fluctuating in size with head position and Valsalva maneuver. No thrill was palpable on physical examination. Doppler ultrasound demonstrated an anechoic compressible intra-parotid lesion, with luminal color filling, and venous spectral waveform.Contrast-enhanced computed tomography and Magnetic resonance angiography of the neck revealed an ectatic retromandibular vein. The patient was conservatively managed and regularly followed up. No complications occurred. Cervical region venous ectasias are rare and commonly misdiagnosed. They should be considered in the soft neck masses differential diagnosis. Imaging plays a key diagnostic role.
format article
author Hanae Ramdani, MD
Khadija Benelhosni, MD
Nabil Moatassim Billah, MD
Ittimade Nassar, MD
author_facet Hanae Ramdani, MD
Khadija Benelhosni, MD
Nabil Moatassim Billah, MD
Ittimade Nassar, MD
author_sort Hanae Ramdani, MD
title Retromandibular vein ectasia : A parotid mass mimicker
title_short Retromandibular vein ectasia : A parotid mass mimicker
title_full Retromandibular vein ectasia : A parotid mass mimicker
title_fullStr Retromandibular vein ectasia : A parotid mass mimicker
title_full_unstemmed Retromandibular vein ectasia : A parotid mass mimicker
title_sort retromandibular vein ectasia : a parotid mass mimicker
publisher Elsevier
publishDate 2022
url https://doaj.org/article/a9dc1518c6dd40c090970dca755c97b4
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AT nabilmoatassimbillahmd retromandibularveinectasiaaparotidmassmimicker
AT ittimadenassarmd retromandibularveinectasiaaparotidmassmimicker
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