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Int Med Case Rep J. 2016 Mar 21;9:73-5. doi: 10.2147/IMCRJ.S98801. eCollection 2016.

A rare case of anastomosis between the external and internal jugular veins.

Author information

1
Ear, Nose and Throat Department, "Saint Luke" Private Hospital, Panorama, Greece.
2
Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
3
Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece.
4
Cardiothoracic Surgery Department, "Saint Luke" Private Hospital, Panorama, Thessaloniki, Greece.
5
Nuclear Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
6
Surgery Department, "Interbalkan" European Medical Center, Thessaloniki, Greece.

Abstract

Jugular veins bring deoxygenated blood from the head back to the heart. There are two sets of external and internal veins. The external jugular vein receives the greater part of the blood from the cranium and the deep parts of the face. It commences from the substance of the parotid gland and runs down the neck at the posterior border of sternocleidomastoideus and ends in the subclavian vein in front of the scalenus anterior. The external jugular vein is covered by the platysma and its upper half runs parallel with the great auricular nerve. There is also another minor jugular vein, the anterior, draining the submaxillary region. In our patient, we recognized a shunt between the external and internal jugular veins. It appeared in the middle of the veins, between the pair of valves, which are placed ~2.5 cm above the termination of the vessel. The anastomosis was fully functional, and there was no problem in the blood pressure of the patient. Moreover, the shunt was not associated with any systemic disease.

KEYWORDS:

anastomosis; jugular veins; parotid gland

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