Korean J Otorhinolaryngol-Head Neck Surg.  2019 May;62(5):307-311. 10.3342/kjorl-hns.2018.00073.

A Case of Intravenous Pyogenic Granuloma Originating in the External Jugular Vein

• Kim SW
• Kim SY
• Noh SH
• Lee SH

• KMID: 2449259
• DOI: http://doi.org/10.3342/kjorl-hns.2018.00073

Abstract

Intravenous pyogenic granuloma (IVPG), also known as intravenous lobular capillary hemangioma, is an extremely rare form of vascular tumor which derives from the lumen of a vein of the head and neck and upper extremities. The treatment of choice is complete local excision of a small portion of the vein. Since first report in 1979, IVPG has been reported in no more than 60 reports abroad. To our knowledge, IVPG originating in the external jugular vein has never been reported in Korea but has important clinical implication. Accurate preoperative diagnosis of neck mass originating in jugular vein is important to plan operative procedures to avoid vascular injury, excessive bleeding, or incomplete excision. Preoperative radiologic examinations such as ultrasonography, computed tomography are useful as first-line diagnostic tools for differential diagnosis of movable neck mass. With a review of literature, the author reports a case of IVPG arising from the left external jugular vein in a 31-year-old male who complained about a palpable neck mass. This patient was successfully managed by ligation and excision of the vein without any complication and no recurrence was found after 6 months.

Keyword

External jugular vein; Intravenous lobular capillary hemangioma; Intravenous pyogenic granuloma; Pyogenic granuloma

MeSH Terms

Adult
Diagnosis
Diagnosis, Differential
Granuloma, Pyogenic*
Head
Hemorrhage
Humans
Jugular Veins*
Korea
Ligation
Male
Neck
Recurrence
Surgical Procedures, Operative
Ultrasonography
Upper Extremity
Vascular System Injuries
Veins