Skip to main content
Log in

Internal Jugular Vein Duplication: Review and Classification

  • CASE REPORT
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Internal jugular vein duplication (IJVD) is a rare phenomenon. Twenty-one such instances in 18 individuals have been reported to date. We report an intra-operative case of unilateral IJVD in a 32-year-old male, who was operated for cancer of gingivobuccal sulcus. We have reviewed the published literature and have proposed a classification scheme in order to make future reporting systematic. The condition has been classified into type A, B and C based on their morphology. About 75 % of the reported cases are of Type A. Type C is the most complex of all the duplications. Though IJVD is physiologically inconsequential, it has clinical implications. Percutaneous catheterisation of the vein could be hazardous in all cases, but more so in type B and C duplications. As with any anomaly, the risk of accidental injury increases during surgical procedures. It is important to document findings of this anomaly in order to understand its anatomy and implications in a better way.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Denys BG, Uretsky BF (1991) Anatomical variations of internal jugular vein location: impact on central venous access. Crit Care Med 19:1516–1519

    Article  CAS  PubMed  Google Scholar 

  2. Coca PA, Rodrigo Tapia JP (2008) Bilateral duplication of the internal jugular vein. Acta Otorrinolaringol Esp 59:314

    Article  Google Scholar 

  3. 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  PubMed  Google Scholar 

  4. Munoz Guerra MF, Campo FR, Gias LN et al (2000) Double internal jugular vein. Plast Reconstr Surg 106:1434–1435

    Article  CAS  PubMed  Google Scholar 

  5. Prades JM, Timoshenko A, Dumollard JM et al (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  PubMed  Google Scholar 

  6. Sylaidis P, Bardsley A, Montgomery P (1997) Duplication of internal jugular vein. Arch Otolaryngol Head Neck Surg 123:1358

    Article  CAS  PubMed  Google Scholar 

  7. Turan-Ozdemir S, Coskun H, Balban M (2004) Phlebectasia of the external jugular vein associated with duplication of the internal jugular vein. Clin Anat 17:522–525

    Article  CAS  PubMed  Google Scholar 

  8. Uecker FC, Wustenberg E, Zahnert T (2007) High duplication of an internal jugular vein. Laryngorhinootologie 86:592–594

    Article  CAS  PubMed  Google Scholar 

  9. Zukschwerdt L (1929) Seltene Lokalisation einer Venektasie. Dtsch Z Chir 216:283–285

    Article  Google Scholar 

  10. Rossi A, Tortori-Donati P (2001) Internal jugular vein phlebectasia and duplication: case report with magnetic resonance angiography features. Pediatr Radiol 31:134

    Article  CAS  PubMed  Google Scholar 

  11. Som PM, Shugar JM, Sacher M et al (1985) Internal jugular vein phlebectasia and duplication: CT features. J Comput Assist Tomogr 9:390–392

    Article  CAS  PubMed  Google Scholar 

  12. Towbin AJ, Kanal E (2004) A review of two cases of fenestrated internal jugular veins as seen by CT angiography. AJNR Am J Neuroradiol 25:1433–1434

    PubMed  Google Scholar 

  13. Downie SA, Schalop L, Mazurek JN et al (2007) Bilateral duplicated internal jugular veins: case study and literature review. Clin Anat 20:260–266

    Article  CAS  PubMed  Google Scholar 

  14. Kessel F (1928) Verlauf des Nervus accessorius durch eine Insel der Vena jugularis interna. Anat Anz 65:162–164

    Google Scholar 

  15. Nayak BS (2006) Surgically important variations of the jugular veins. Clin Anat 19:544–546

    Article  PubMed  Google Scholar 

  16. Setty LR (1960) A partially double internal jugular vein and its relation to the spinal accessory nerve. J Natl Med Assoc 52:174–175

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Bannon MP, Heller SF, Rivera M (2011). Anatomic considerations for central venous cannulation. Risk Management and Healthcare Policy 4:27–39. doi:10.2147/RMHP.S10383

  18. Sunavala JD (1999) Procedures in the intensive care unit. In: Udwadia FE (ed) Principles of critical care. Oxford University Press, New Delhi, pp 47–58

    Google Scholar 

  19. Standring S, Berkovitz B, Hackney C et al (2005) Neck and upper aerodigestive tract: development of the face and neck. In: Standring S (ed) Gray’s anatomy. Elsevier Churchill Lvingstone, London, pp 609–618

    Google Scholar 

  20. Sadler TW (2006) Langman’s medical embryology. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  21. Dodo Y (1986) Observations on the bony bridging of the jugular foramen in man. J Anat 144:153–165

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Myers EN, Suen JY, Myers JN et al (2003) Cancer of the head and neck. Saunders, Philadelphia

    Google Scholar 

  23. Mark JB, Slaughter TF (2005) Cardiovascular monitoring. In: Miller RD (ed) Miller’s anesthesia. Elsevier Churchill Livingstone, California, pp 1265–1362

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sandeep P. Nayak.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nayak, S.P., Ashraf, M., Dam, A. et al. Internal Jugular Vein Duplication: Review and Classification. Indian J Surg Oncol 8, 222–226 (2017). https://doi.org/10.1007/s13193-015-0452-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-015-0452-6

Keywords

Navigation