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Jugular bulb phlebectasia

R M Walsh1, F J Lannigan, J A McGlashan

  • 1Department of Otorhinolaryngology, Lewisham Hospital, London, UK.

International Journal of Pediatric Otorhinolaryngology
|January 1, 1993
PubMed
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Phlebectasia of the internal jugular vein (IJV) is a rare condition causing enlarged neck veins. This case highlights a unique presentation of jugular bulb phlebectasia within the middle ear in a young child.

Area of Science:

  • Vascular Surgery
  • Pediatric Otolaryngology
  • Medical Imaging

Background:

  • Phlebectasia of the internal jugular vein (IJV) is a rare congenital venous anomaly.
  • Typically presents as a neck mass in young children.
  • Characterized by pathological venous enlargement.

Observation:

  • A 4-year-old boy presented with a pulsatile blue swelling in his left middle ear.
  • The swelling originated from the floor of the middle ear cleft.
  • No associated neck symptoms or signs were noted.

Findings:

  • Digital subtraction vertebral arteriography (DSVA) and CT scans confirmed jugular bulb phlebectasia.
  • The phlebectasia involved the lateral sinus and proximal left IJV.
  • A complete bony defect was present in the floor of the middle ear.

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Implications:

  • This is the first reported case of jugular bulb phlebectasia presenting within the middle ear.
  • Highlights the importance of considering venous anomalies in pediatric ear masses.
  • The case required no active treatment, suggesting conservative management may be appropriate in select cases.