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External jugular vein pierced by supraclavicular branches in a neonatal cadaver: a case report

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Abstract

Anatomical variations in the venous structure and drainage patterns in the neck are not uncommon. However, this is the first known report on the external jugular vein being pierced by supraclavicular branches. In the lateral cervical region of a neonatal cadaver, the supraclavicular branches penetrated the external jugular vein superior to the clavicle, resulting in a circular venous channel formed around the nerve trunk. Variations such as these are important to note in order to minimize possible intra-operative complications sustained during surgical interventions such as venous catherization or nerve grafts.

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References

  • Anehosur V, Rajendiran S, Jayade GR, Kumar N (2015) An unusual observation during neck dissection. J Maxillofac Oral Surg 15:306–308

    Article  Google Scholar 

  • Comert E, Comert A (2009) External jugular vein duplication. J Craniofac Surg 20:2173–2174

    Article  Google Scholar 

  • Gardiner KJ, Irvine BW, Murray A (2002) Anomalous relationship of the spinal accessory nerve to the internal jugular vein. Clin Anat 15:62–63

    Article  CAS  Google Scholar 

  • Ibrahim B, Berania I, Moubayed SP, Christopoulos A, Ayad T (2016) Internal jugular vein duplication: anatomic relationship with the spinal accessory nerve. J Maxillofac Oral Surg 74:1–4

    Article  Google Scholar 

  • Ihara K, Doi K, Saikai K, Kuwata N, Kawai S (1996) Restoration of sensibility in the hand after complete brachial plexus injury. J Hand Surg 21:381–386

    Article  CAS  Google Scholar 

  • Moore KL, Dalley AF, Agur AMR (2014) Clinically oriented anatomy, 7th edn. Wolters Kluwers, Lippincott, Williams and Wilkins, Philadelphia, pp 995–996

    Google Scholar 

  • Mucci SJ, Dellon AL (1997) Restoration of lower-lip sensation: neurotization of the mental nerve with the supraclavicular nerve. J Reconstr Microsurg 13:151–155

    Article  CAS  Google Scholar 

  • Paraskevas G, Natsis K, Ioannidis O, Kitsoulis P, Anastasopoulos N, Spyridakis I (2014) Multiple variations of the superficial jugular veins: case report and clinical relevance. Acta Medica 57:34–37

    PubMed  Google Scholar 

  • Prades JM, Timoshenko A, Dumollard JM, Durand M, Merzougui N, Martin C (2002) High duplication of the internal jugular vein: clinical incidence in the adult and surgical consequences, a report of three clinical cases. Surg Radiol Anat 24:129–132

    Article  CAS  Google Scholar 

  • Prigge L, Van Schoor A-N, Bosman MC (2013) Evaluation of paediatric regional anaesthetic procedures in the head and neck region. MSc dissertation. University of Pretoria

  • Rao TR, Shetty P, Roa S (2009) A rare case of looping of supraclavicular nerve branches around external jugular vein and transverse cervical artery. Int J Anat Var 2:48–50

    Google Scholar 

  • Rao S, Pandey S, Kumar Y, Rao S (2018) Bifurcation of external jugular vein: an anatomical variation during neck dissection. Oral Maxillofac Surg 22:475–476

    Article  Google Scholar 

  • Roy TS, Sharma S (2004) Axillary vein perforation by the medial cutaneous nerve in the forearm. Clin Anat 17:300–302

    Article  CAS  Google Scholar 

  • Standring S (2008) Gray’s anatomy. The anatomical basis of clinical practice, 40th edition. Churchill, Livingstone, Elsevier, pp 407, 435, 436, 451

  • Tubbs RS, Salter EG, Oakes WJ (2006) Anomaly of the supraclavicular nerve: case report and review of the literature. Clin Anat 19:599–601

    Article  Google Scholar 

  • Van Schoor A-N, Boon JM, Bosenberg AT, Abrahams PH, Meiring JH (2005) Anatomical considerations of the paediatric ilio-inguinal/ iliohypogastric nerve block. Ped Anesth 15:371–377

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the following persons without whose contributions this manuscript would not have been possible: Barbara Viljoen, for her valued assistance with language editing, Jade Naicker, for her artistic illustrations and Marinda Pretorius for final editing of figures and illustrations.

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Correspondence to Lané Prigge.

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Prigge, L., Bosenberg, A.T. & van Schoor, A.N. External jugular vein pierced by supraclavicular branches in a neonatal cadaver: a case report. Anat Sci Int 96, 564–567 (2021). https://doi.org/10.1007/s12565-020-00596-2

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  • DOI: https://doi.org/10.1007/s12565-020-00596-2

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