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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2022
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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) |
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Retromandibular vein Venous ectasia Doppler ultrasound Computed tomography MRI Medical physics. Medical radiology. Nuclear medicine R895-920 |
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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 |
work_keys_str_mv |
AT hanaeramdanimd retromandibularveinectasiaaparotidmassmimicker AT khadijabenelhosnimd retromandibularveinectasiaaparotidmassmimicker AT nabilmoatassimbillahmd retromandibularveinectasiaaparotidmassmimicker AT ittimadenassarmd retromandibularveinectasiaaparotidmassmimicker |
_version_ |
1718406824796880896 |