Abstract

Venous malformation between the external and internal jugular vein characterized by nonfluctant, painless, and nonpulsatile swelling on the right side of his neck while the individual was singing was reported in a 45-year-old man. Interestingly, there was no skin lesion observed on his neck. The swelling increased in size when the patient was shouting (Valsalva maneuver) and diminished in size during periods of rest. Contrast enhanced multi detector computed tomography (MDCT) angiography indicated the presence of a venous malformation between the external and internal jugular vein. The patient was administered a conservative treatment strategy. Notably, only symptomatic malformations or lesions causing important aesthetic prejudice require surgical treatment. In this case, there were no symptoms or esthetic issues. Thus, we recommend diagnosis using MDCT imaging for vascular malformations at contraindicate magnetic resonance imaging (MRI).