Brachiocephalic Venous Aneurysm Mimicking Metastatic Cervical Lymphadenopathy in a Patient with Gastric Cancer: A Case Report
10.3348/jksr.2020.81.4.933
- Author:
Min Jung RYU
1
;
Jae-Kwang LIM
;
Hoseok LEE
Author Information
1. Department of Radiology, College of Medicine, Yeungnam University, Daegu, Korea
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(4):933-938
- CountryRepublic of Korea
-
Abstract:
Brachiocephalic venous aneurysm (BVA) development is an extremely rare, particularly as a primary vascular disorder. BVAs may be misinterpreted as lymphadenopathies owing to the variable degrees of enhancement seen in imaging studies, especially among patients with underlying malignancy. We report a BVA that mimicked lymph node metastasis on CT in a 60-year-old female who had undergone subtotal gastrectomy for stomach cancer. After followup chest CT with different bolus times and Doppler ultrasonography, a venous aneurysm originating from the brachiocephalic vein was diagnosed. We emphasize that, to make an accurate diagnosis, physicians should be aware of the potential diagnostic pitfalls and have a high index of suspicion for BVA when encountering certain lesions in the cervical area.
