{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:32:24Z","timestamp":1787236344198,"version":"build-2736575974"},"reference-count":14,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,4]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Aneurysms and pseudoaneurysms predominantly affect the high-pressure arterial system; venous manifestations are exceedingly rare. While the internal jugular vein is the most common cervical site\u2014typically following catheterisation\u2014external jugular vein (EJV) pseudoaneurysms are far less common. Although usually managed conservatively, surgery may be indicated in select cases.<\/jats:p>\n                  <jats:p>A preteen girl presented with a 3-month history of a painless, compressible, right-sided neck mass that enlarged during the Valsalva manoeuvre. There was no history of trauma.<\/jats:p>\n                  <jats:p>Sonographic evaluation demonstrated focal EJV dilatation (3.1 cm\u00d70.9\u2009cm) with peripheral echogenic components. Contrast-enhanced CT confirmed a 2.5 cm\u00d71.7 cm\u00d72.5\u2009cm enhancing saccular mass with vascular continuity to the EJV.<\/jats:p>\n                  <jats:p>Surgical excision was performed. Histopathology revealed dilated vascular channels with organising thrombi and recanalisation, consistent with the diagnosis.<\/jats:p>\n                  <jats:p>Despite the rarity, EJV pseudoaneurysms should be included in the differential diagnosis of paediatric neck masses.<\/jats:p>","DOI":"10.1136\/bcr-2025-268322","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:25:15Z","timestamp":1787232315000},"page":"e268322","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Surgically managed paediatric external jugular vein pseudoaneurysm"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5211-3561","authenticated-orcid":false,"given":"Archna","family":"Sachar","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshay","family":"Padinharakandy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balakrishnan","family":"Ramaswamy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6052-8905","authenticated-orcid":false,"given":"Rohit","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poorvi V","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"2026082006250827000_19.8.e268322.1","first-page":"43","article-title":"Multiple aneurysms of the left external jugular vein","volume":"35","author":"Karapolat","year":"2005","journal-title":"Turk J Med Sci"},{"key":"2026082006250827000_19.8.e268322.2","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1016\/j.radcr.2024.12.010","article-title":"Spontaneous bilateral external jugular venous aneurysm: A series of two case reports","volume":"20","author":"Singh","year":"2025","journal-title":"Radiol Case Rep"},{"key":"2026082006250827000_19.8.e268322.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80222-3"},{"key":"2026082006250827000_19.8.e268322.4","first-page":"257","article-title":"Pseudoaneurysma of the external jugular vein communicating with the internal jugular vein. 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