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Internal jugular phlebectasia
1Otolaryngology Department, King Abdulaziz University Hospital, Riyadh, Saudi Arabia.
International Journal of Pediatric Otorhinolaryngology
|January 3, 1997
Summary
Internal jugular phlebectasia, a rare congenital venous condition, typically presents in childhood. Conservative management is recommended for asymptomatic cases, with diagnosis confirmed via Doppler ultrasonography and CT scans.
Area of Science:
- Vascular Surgery
- Pediatric Surgery
- Radiology
Background:
- Anterior neck masses appearing with straining require differentiation from conditions like laryngocele and mediastinal masses.
- Internal jugular phlebectasia is characterized by a fusiform dilatation of the internal jugular vein.
Observation:
- An 11-year-old boy presented with a right-sided soft neck swelling that appeared upon straining.
- The condition, internal jugular phlebectasia, is a rare venous anomaly.
Findings:
- Diagnosis was confirmed using ultrasonography with Doppler imaging and contrast-enhanced spiral CT scans.
- The patient was managed conservatively with no changes observed during a 21-month follow-up.
Implications:
- Internal jugular phlebectasia is predominantly a childhood disease, often congenital and more common on the right side.
- While surgical excision has been common, conservative treatment is preferred for asymptomatic patients.
- Doppler ultrasonography and contrast-enhanced CT are the preferred diagnostic modalities for this rare venous lesion.