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A Case of Phlebectasia in a Child Presenting With Neck Mass
Neha D Shetty1, Rajasbala Dhande1, Pratap Parihar1
1Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
Jugular phlebectasia, a jugular vein enlargement, presents as a neck lump. Imaging like CT and ultrasound confirmed the diagnosis in a pediatric case.
Area of Science:
- Vascular Surgery
- Pediatric Radiology
- Head and Neck Surgery
Background:
- Jugular phlebectasia is a rare condition involving jugular vein dilation.
- It can present as a soft, compressible neck mass, often mistaken for other pathologies.
- Accurate diagnosis is crucial to differentiate from other cervical cystic lesions.
Observation:
- A seven-year-old boy presented with a cervical cystic mass.
- The mass exhibited characteristics consistent with jugular phlebectasia, including prominence during straining.
- Clinical presentation required further investigation to rule out other neck masses.
Findings:
- Computed tomography (CT) and ultrasonography provided comparable and diagnostic findings.
- Imaging confirmed the nature of the cervical cystic mass as jugular phlebectasia.
- These modalities were instrumental in identifying the specific pathology.
Implications:
- This case highlights the importance of advanced imaging in diagnosing jugular phlebectasia.
- Understanding the imaging characteristics aids in distinguishing it from other neck masses.
- Accurate diagnosis ensures appropriate management and avoids unnecessary interventions.
Abstract:
Jugular phlebectasia is an enlargement of the jugular vein that manifests as a soft, cystic lump in the neck which can be compressed, becomes prominent on crying or straining and disappears on rest. It needs to be distinguished from laryngocele, neck cysts, and tumours that can also develop with straining. We report a case of a seven-year-old boy presenting with a cervical cystic mass. Comparable computed tomography and ultrasonography findings helped identify the pathology.
