PMC9931438_01
Computed tomography (CT) scan with IV contrast showing a hyper-enhancing mass originating from the right facial vein (red arrows). A: Axial, B: Coronal, C. Sagittal
cureus-0015-00000033842-i01.jpg
PMC9931438_01_cureus-0015-00000033842-i01.jpg
FIG1
A computed tomography (CT) scan of the neck revealed a 2.7 cm well-circumscribed enhancing mass separate from the more medially located submandibular gland (Figure 1).
Direct puncture venography highlighting the facial vein aneurysm (black arrow) and immediate opacification of the right internal jugular vein (blue arrow)
cureus-0015-00000033842-i02.jpg
PMC9931438_01_cureus-0015-00000033842-i02.jpg
FIG2
The patient ultimately underwent a direct puncture venography, which demonstrated an unruptured 3 cm venous aneurysm involving the right facial vein approximately 1.5 cm proximal to its connection into the right internal jugular vein (Figure 2).
Transcervical exposure showing the aneurysmal mass stemming off the right facial vein. Image shows the aneurysm (black arrow) overlying the facial vein (blue arrow). Note the close proximity of the submandibular gland (white star).
cureus-0015-00000033842-i03.jpg
PMC9931438_01_cureus-0015-00000033842-i03.jpg
FIG3
The facial vein, along with multiple smaller contributing vessels, was dissected and carefully isolated from surrounding structures and subsequently ligated (Figure 3).