Internal jugular vein duplication-incidental finding: a rare case report

Authors

  • Kumar M. Vinchurkar Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India
  • Ankit Gupta Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India
  • Rashmi S. Patil Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India
  • Shekhargouda . Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India
  • Akanksha Garg Department of Oral and Maxillofacial Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20221890

Keywords:

Internal jugular vein, Internal jugular vein duplication, Sternocleidomastoid muscle

Abstract

Internal jugular vein duplication (IJVD) during neck dissection is a rare finding, with a 4/1000 incidence recorded in unilateral neck dissections. An intra-operative unilateral IJVD was identified as an unexpected finding in a 49-year-old gentleman who underwent surgery for upper gingivobuccal sulcus carcinoma. In case IJVD is present then high chances of injury to anterior compartment in early steps of neck dissection as it is present anterior and medial to Sternocleidomastoid muscle (SCM), while chances of injury to posterior compartment when addressing level II, III, and IV neck nodes. Though duplication has no physiological significance, it has clinical implications during interventional, surgical and other procedures, so detailed knowledge of this variation in anatomy helps in preventing untoward injury or misinterpretation. To understand the variation in anatomy, it is important to document the findings of this anomaly. Objective of case report is to explain the presentation of internal jugular vein duplication, its clinical consequences and to discuss literature present pertaining to its embryology.

Author Biographies

Kumar M. Vinchurkar, Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

Associate Professor & HOD, Department of Surgical Oncology

Ankit Gupta, Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

Fellow, Department of Surgical Oncology

Rashmi S. Patil, Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

Senior Resident, Department of Surgical Oncology

Shekhargouda ., Department of Surgical Oncology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

Resident, Department of Surgical Oncology

Akanksha Garg, Department of Oral and Maxillofacial Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India

Resident, Department of Oral and Maxillofacial Surgery

References

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Prades JM, Timoshenko A, Dumollard JM, Durand M, Merzougui N, Martin C, et al. High duplication of the internal jugular vein: clinical incidence in the adult and surgical consequences, a report of three clinical cases. Surg Radiol Anat. 2002;24:129-32.

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Published

2022-07-26

Issue

Section

Case Reports