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Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling

Deepanjan Bhattacharya1, Mounika Endrakanti1, Rakesh Kumar1

  • 1Department of Paediatrics, PGIMER, Chandigarh, India.

Case Reports in Pediatrics
|February 7, 2018
PubMed

Insights

Internal jugular vein (IJV) phlebectasia is a rare neck swelling caused by vein dilation. This case report details a child diagnosed with this benign condition, emphasizing conservative management.

Area of Science:

  • Vascular Surgery
  • Pediatric Radiology
  • Otolaryngology

Background:

  • Internal jugular vein (IJV) phlebectasia is a rare condition characterized by fusiform dilation of the venous wall.
  • It typically presents as a self-reducible soft tissue neck swelling, often exacerbated by coughing or straining.

Observation:

  • A 7-year-old boy presented with a painless, soft neck mass.
  • The swelling appeared during coughing and straining and spontaneously reduced.
  • Diagnosis was confirmed using Doppler ultrasonography and magnetic resonance imaging of the neck.

Findings:

  • The case confirms IJV phlebectasia as a rare cause of neck swelling in children.
  • Imaging modalities like Doppler ultrasonography and MRI are crucial for accurate diagnosis.
  • Conservative management and regular follow-up were deemed appropriate.

Implications:

  • Recognizing IJV phlebectasia can prevent unnecessary diagnostic workups and interventions for neck masses.
  • This highlights the importance of considering rare differentials in pediatric neck swellings.
  • Accurate diagnosis avoids potentially invasive procedures for a benign condition.

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