ArticleSurgical neurology international2026
Surgical management of an intraluminal thrombus in the external jugular vein: A case report with near-infrared visualization as a useful adjunct.
Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Surgical removal of a mass in the external jugular vein requires precise localization to ensure optimal cosmetic outcomes. While preoperative imaging is standard, intraoperative anatomical shifts can occur. We report a case where a near-infrared vein visualization device was used as a supplementary tool during the excision of an intraluminal thrombus. Case Description: A 50-year-old woman presented, complaining of a subcutaneous mass in the left neck. She used a sports bra for the previous 6 weeks to participate in a marathon race. Ultrasonography revealed an intraluminal mass arising from the venous wall of the left external jugular vein. This finding suggested that the mass could be a thrombus. An anticoagulant agent was initiated. However, the lesion was resistant to treatment and continued increasing. Therefore, we planned surgical removal of the subcutaneous mass. Before the design of a skin incision, we identified the subcutaneous mass using a near-infrared visualization device. The mass was accurately localized and dissected through a minimal 2-cm transverse skin incision. Pathological diagnosis was the combination of intravenous pyogenic granuloma and organized thrombus. There was no recurrence of the mass at the final follow-up of 2 years after surgery. Conclusion: We describe the successful removal of an intraluminal thrombus in the external jugular vein. Near-infrared vein visualization was found to be a useful adjunct in our experience.
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