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Right internal juglar vein phlebectasia: a diagnostic conundrum
Raja Lahiri1, Shubham Singh Rawat2, Abisho Russal Starlet1
1Cardio-Thoracic and Vascular Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
BMJ Case Reports
|July 29, 2024
Summary
Internal jugular vein (IJV) phlebectasia, a rare vascular anomaly in children, presents as a neck mass. This benign condition in an asymptomatic child requires observation and regular monitoring.
Area of Science:
- Vascular Surgery
- Paediatric Radiology
- Congenital Vascular Malformations
Background:
- Phlebectasia of the internal jugular vein (IJV) is a rare vascular anomaly.
- It is particularly uncommon in paediatric patients.
- This condition involves abnormal dilation of the IJV.
Observation:
- A case of IJV phlebectasia in a young girl is presented.
- The patient exhibited a painless, non-pulsatile neck mass.
- Imaging studies confirmed the mass as an enlarged IJV.
Findings:
- IJV phlebectasia can present as an asymptomatic neck mass in children.
- Diagnostic workup involves imaging to identify the enlarged IJV.
- The condition is benign in nature.
Implications:
- Early identification and diagnosis of IJV phlebectasia are crucial.
- Asymptomatic cases warrant observation and regular monitoring.
- This case highlights the importance of recognizing rare vascular anomalies in paediatric patients.
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