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Alkusayer MM, Alharbi AS, Aljabri NM, Al Saqer RM, Alhammad BN, Alahmadi RM. Internal jugular vein phlebectasia: A systematic review of therapeutic approaches in Pediatrics. Int J Pediatr Otorhinolaryngol 2023; 175:111720. [PMID: 37871464 DOI: 10.1016/j.ijporl.2023.111720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 08/08/2023] [Accepted: 09/06/2023] [Indexed: 10/25/2023]
Abstract
OBJECTIVES Internal jugular vein phlebectasia (IJVP) is a rare type of vascular abnormality that causes dilatation of internal jugular vein in the neck. There is presently no consensus on the most effective method of treatment for this condition, that is commonly seen in children. We conducted a systematic review of the literature reported till date to comprehend the key features of IJVP and its most effective therapeutic modalities. METHODS Five databases were searched until October 10, 2022 for articles of any design (including case reports) reporting IJVP in pediatric subjects. Individual patient data on demographics, clinical features of this entity and the differential diagnosis, methods of imaging, management, and outcome of illness were recorded. The quality assessment was performed using the Joanna Briggs Institute's Critical Appraisal Checklist for studies. RESULTS A total of 51 articles including 169 cases were retrieved and included in the analysis. Of the 169 patients, most of them were male children, and in 77% of cases right internal Juglar vein was involved. All patients had some symptoms suggestive of IJVP with most common ones being neck swelling or tenderness, and difficulty in breathing. In 90% of cases, it was observed that the neck swelling typically increases in size with Valsalva maneuver. Once jugular vein phlebectasia was clinically suspected, ultrasonography, CECT, or color Doppler flow imaging were used to confirm the diagnosis. The management of most of the cases was either conservative or surgical, and in surgery mostly ligation was performed. There have not been any cases of serious complications, therefore, according to included studies, a conservative approach is recommended with continuous monitoring. Out of the 51 studies included, most of them had low risk of bias. CONCLUSION Internal jugular vein phlebectasia, a rare benign condition, is most commonly found in children, and affects predominantly the right internal jugular vein. Although most patients did well with merely conservative treatment, still management of this vascular anomaly has to be on a case-by-case basis.
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Affiliation(s)
| | | | | | | | | | - Rawan M Alahmadi
- ENT Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Chen TY, Wei CH, Lin YC. A boy who can puff his neck: Bilateral internal jugular phlebectasia. Pediatr Neonatol 2022; 63:84-85. [PMID: 34716127 DOI: 10.1016/j.pedneo.2021.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 09/04/2021] [Accepted: 09/13/2021] [Indexed: 10/20/2022] Open
Affiliation(s)
- Tzu-Ying Chen
- Department of Otorhinolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
| | - Chin-Hung Wei
- Division of Pediatric Surgery, Department of Surgery, Shuang Ho Hospital, New Taipei City, Taiwan; Department of Surgery, School of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Yi-Chih Lin
- Department of Otorhinolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Department of Public Health, College of Medicine, Taipei Medical University, New Taipei City, Taiwan; Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
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Tran VB, Pacquelet B, Dugué J. An unusual cervical swelling. Eur Ann Otorhinolaryngol Head Neck Dis 2021; 139:301-303. [PMID: 34895849 DOI: 10.1016/j.anorl.2021.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- V B Tran
- Service d'ORL-CCF, CHU de Caen Normandie, 14000 Caen, France.
| | - B Pacquelet
- Service de radiologie, CHU de Caen Normandie, 14000 Caen, France
| | - J Dugué
- Service d'ORL-CCF, CHU de Caen Normandie, 14000 Caen, France
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Alrabea S, Eshky A, Albilasi T, Alenezi M, Bawazir S. Internal jugular phlebectasia in pediatric patients: a report of two Saudi cases. J Surg Case Rep 2021; 2021:rjab555. [PMID: 34987755 PMCID: PMC8711263 DOI: 10.1093/jscr/rjab555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 11/20/2021] [Indexed: 11/14/2022] Open
Abstract
Phlebectasia is a rare condition that refers to the dilatation of any vein in the neck. It is more common in the internal jugular vein and in boys. Diagnosis of the condition is based on ultrasound with Doppler and contrast-enhanced computed tomography. Management of this condition is conservative unless there are complications that may require surgery. Here, we present two pediatric cases of internal jugular phlebectasia. The first patient was an 8-year-old boy, and the second was a 5-year-old boy. They both presented to our clinic with recurrent tonsillitis for tonsillectomy, and both were incidental findings.
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Affiliation(s)
- Sultan Alrabea
- Department of Otolaryngology Head and Neck Surgery, College of Medicine, University of Al-Jouf, Al-Jouf, Saudi Arabia
| | - Anoof Eshky
- Department of Otolaryngology Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Thamer Albilasi
- Department of Otolaryngology Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Mazyad Alenezi
- Correspondence address. College of Medicine, Qassim University, Saudi Arabia, P.O. Box 6655, Buraidah 51452, Qassim, Saudi Arabia. Tel: 00966 506119621; E-mail:
| | - Samir Bawazir
- Pediatric Otolaryngology Division, Department of Otolaryngology Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
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Nucera M, Meuli L, Janka H, Schindewolf M, Schmidli J, Makaloski V. Comprehensive review with pooled analysis on external and internal jugular vein aneurysm. J Vasc Surg Venous Lymphat Disord 2021; 10:778-785.e2. [PMID: 34634519 DOI: 10.1016/j.jvsv.2021.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 09/22/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The aim of the present comprehensive review was to present an overview of the clinical presentation and treatment options for external (EJVAs) and internal jugular vein aneurysms (IJVAs) to help clinicians in evidence-based decision making. METHODS A systematic literature search was conducted in accordance with the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement and included MEDLINE, Embase, Cochrane Library, Scopus, WHO (World Health Organization) trial register, ClinicalTrials.gov, and the LIVIVO search portal. The inclusion criteria were studies of patients who had presented with IJVAs or EJVAs. The exclusion criteria were animal and cadaver studies and reports on interventions using the healthy jugular vein for access only (ie, catheterization). Analysis of the pooled data from all eligible case reports was performed. RESULTS From 1840 identified reports, 196 studies were eligible. A total of 256 patients with JVAs were reported, with 183 IJVAs and 73 EJVAs. IJVAs were reported to occur in 66% on the right side compared with the left side (P = .011). The patients with IJVAs were mostly children (median age, 12 years; interquartile range, 5.8-45.2 years). The patients with EJVAs were young adults (median age, 30 years; interquartile range, 11.0-46.5 years). EJVAs were more frequently reported in women and IJVAs in men (P = .008). Most of the patients were asymptomatic. Pulmonary embolization in association with thrombosed EJVAs was only reported for one patient. A report of the outcomes after surgery and conservative management was missing for ∼50% of the patients. No relevant complications were reported after ligation of the EJVA without reconstruction. Intracranial hypertension after ligation of the right-sided IJVA was reported in three children; in one of them, a pontine infarction was observed. CONCLUSIONS JVAs are a disease of the younger population but can occur at any age. It seems to be safe to observe patients with nonthrombosed JVAs. However, in the presence of thrombus or pulmonary embolization, surgical treatment should be considered. A reconstruction technique of the IJVA with venous patency preservation should be preferred.
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Affiliation(s)
- Maria Nucera
- Department of Cardiovascular Surgery, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland
| | - Lorenz Meuli
- Department of Vascular Surgery, University Hospital Zurich, Zürich, Switzerland
| | - Heidrun Janka
- Medical Library, Universitätsbibliothek Bern, University of Bern, Bern, Switzerland
| | - Marc Schindewolf
- Department of Angiology, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland
| | - Juerg Schmidli
- Department of Cardiovascular Surgery, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland
| | - Vladimir Makaloski
- Department of Cardiovascular Surgery, University Hospital Bern, Inselspital, University of Bern, Bern, Switzerland.
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Vera L, Muylle S, van Loon G, Gatel L, Martens A, Vanderperren K. Internal jugular vein phlebectasia in a one‐year‐old Warmblood stallion. EQUINE VET EDUC 2021. [DOI: 10.1111/eve.13273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- L. Vera
- Equine Cardioteam Ghent University Department of Large Animal Internal Medicine Faculty of Veterinary Medicine Ghent University Ghent Belgium
| | - S. Muylle
- Department of Morphology Faculty of Veterinary Medicine Ghent University Ghent Belgium
| | - G. van Loon
- Equine Cardioteam Ghent University Department of Large Animal Internal Medicine Faculty of Veterinary Medicine Ghent University Ghent Belgium
| | - L. Gatel
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics Faculty of Veterinary Medicine Ghent University Ghent Belgium
| | - A. Martens
- Department of Surgery and Anaesthesiology of Domestic Animals Faculty of Veterinary Medicine Ghent University Ghent Belgium
| | - K. Vanderperren
- Department of Veterinary Medical Imaging and Small Animal Orthopaedics Faculty of Veterinary Medicine Ghent University Ghent Belgium
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Tijani Y, Belmir H, Zahdi O, Hormat-Allah M, El Bhali H, El Khloufi S, Sefiani Y, El Mesnaoui A, Lekehal B. [Painful cervical mass revealing an aneurysm of the internal jugular vein]. Ann Cardiol Angeiol (Paris) 2020; 69:207-209. [PMID: 32826040 DOI: 10.1016/j.ancard.2020.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Accepted: 07/21/2020] [Indexed: 11/20/2022]
Abstract
Internal jugular vein aneurysms or phlebectasia of the internal jugular vein are considered a benign pathology. They are more and more diagnosed with the evolution of imaging techniques : ultrasonography, angioscanner and MRI. Clinically they are often by chance, however accompanying clinical signs can be seen such as pain, hoarseness or vocal cord paralysis. Several differential diagnoses can be mentioned such as laryngocoele, gill cyst, paraganglioma and hemangioma. They are of unknown etiology with several hypotheses on the etiopathogenesis and on the frequent localization on the right. Conservative treatment can be chosen for small aneurysms and in children. Surgical treatment finds its indication especially in the event of a complication such as thrombosis or for an aesthetic interest; other treatments such as endovascular treatment are being evaluated. We report the case of a 67-year-old woman admitted for a painful latero-cervical mass, and in whom the diagnosis of an aneurysm of the internal jugular vein was suspected and confirmed by ultrasound and CTscan. The patient received successful surgical treatment.
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Affiliation(s)
- Y Tijani
- Service de chirurgie vasculaire et endovasculaire, groupe hospitalier de l'université Mohammed VI des sciences de la santé , Mohammed VI University of health sciences (UM6SS), Casablanca, Maroc.
| | - H Belmir
- Service de chirurgie vasculaire et endovasculaire, groupe hospitalier de l'université Mohammed VI des sciences de la santé , Mohammed VI University of health sciences (UM6SS), Casablanca, Maroc
| | - O Zahdi
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - M Hormat-Allah
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - H El Bhali
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - S El Khloufi
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - Y Sefiani
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - A El Mesnaoui
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
| | - B Lekehal
- Université Mohammed V de Rabat, Rabat, Maroc; Service de chirurgie vasculaire, centre hospitalo-universitaire Ibn Sina, 10104 Souissi, Rabat, Maroc
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8
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Pulsatile Tinnitus Caused by Internal Jugular Phlebectasia in an Adult. J Craniofac Surg 2020; 31:e161-e163. [PMID: 31934968 DOI: 10.1097/scs.0000000000006123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Internal jugular phlebectasia is a rare condition. Children with internal jugular phlebectasia are often discovered by their parents when they notice a soft mass in the neck that appears when the child cries, coughs, or breathes deeply. Most internal jugular vein dilatations occur unilaterally on the right side according to the literature reports. To our knowledge, no other internal jugular phlebectasia patients reported pulsatile tinnitus as the major complaint without a soft mass in the neck. The authors reported a female adult patient with left-side internal jugular phlebectasia with pulsatile tinnitus as the major complaint without a soft mass in the neck. Internal jugular phlebectasia was diagnosed by color ultrasound of the internal jugular vein. Pure-tone audiometry, tympanometry, hemoglobin, thyroid function, and magnetic resonance imaging were made to differentiate other diseases that can cause the pulsatile tinnitus. Conservative treatment is recommended in this report. The possibility of internal jugular vein dilatation should be considered when differentiate the possible diseases that caused pulsatile tinnitus.
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Kandiah R, Mohamad I. The louder the bigger: A case of jugular phlebectasia in a child. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2019; 14:77-79. [PMID: 32175047 PMCID: PMC7067508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Jugular phlebectasia has been increasingly recognised with the advent of non-invasive diagnostic methods. Phlebectasia differs from varix, as it is an abnormal outward dilatation of a vein without tortuosity. It presents as a soft, compressible mass, apparent upon straining or execution of the Valsalva maneuver. The differentials for neck masses are broad, but if the swelling appears on the Valsalva maneuver, the type of mass narrows down to a laryngocele, superior mediastinal mass or phlebectasia. A simple non-invasive investigation, such as ultrasonography, is used as a diagnostic tool. We report a case of jugular phlebectasia that was suspected clinically and confirmed via ultrasound to be a vascular lesion which changed its size upon straining.
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Affiliation(s)
- R Kandiah
- M.D (USM), M.Med (ORL-HNS) Department of Otorhinolaryngology-Head & Neck Surgery (ORL-HNS) School of Medical Sciences Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan Malaysia.
| | - I Mohamad
- MBBS, MD (CSMU) Ukraine Department of Otorhinolaryngology-Head & Neck Surgery (ORL-HNS) School of Medical Sciences Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan Malaysia
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Figueroa-Sanchez JA, Ferrigno AS, Benvenutti-Regato M, Caro-Osorio E, Martinez HR. Internal jugular phlebectasia: A systematic review. Surg Neurol Int 2019; 10:106. [PMID: 31528444 PMCID: PMC6744733 DOI: 10.25259/sni-217-2019] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Accepted: 05/01/2019] [Indexed: 01/21/2023] Open
Abstract
Background: Internal jugular phlebectasia (IJP), the abnormal dilatation of internal jugular vein, is generally considered a benign anomaly. However, because IJP is uncommon, little is known about its natural history, and currently, no consensus on the best treatment modality is available. Methods: The purpose of this article is to conduct a systematic review of available literature on recently reported IJP cases to understand the main characteristics of IJP and its most frequent therapeutic approaches. Following the preferred reporting items for systematic reviews and meta-analyses guidelines, literature search for IJP cases was conducted in the COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO databases. Results: A total of 97 original articles were found, with a total of 247 IJP cases reported including both pediatric and adult patients. Conclusions: To the best of our knowledge, this study is the largest systematic review analyzing all the reported cases of IJP. IJP is considered by most authors as a benign abnormality that predominantly affects the right jugular vein. It is most commonly diagnosed in children. At present, conservative treatment is preferred for pediatric but not for adult patients. Multicenter randomized prospective studies are required to further understand this rare anomaly.
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Affiliation(s)
- Jose A Figueroa-Sanchez
- Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México
| | - Ana S Ferrigno
- Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México
| | - Mario Benvenutti-Regato
- Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México
| | - Enrique Caro-Osorio
- Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México
| | - Hector R Martinez
- Institute of Neurology and Neurosurgery, Hospital Zambrano Hellion, San Pedro Garza García, N.L., México
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Alenezi M, Alaglan A, Almutairi A, Alanazy S, Al Wutayd O. Unilateral internal jugular vein phlebectasia in an adult: Management and one year follow-up. SAGE Open Med Case Rep 2019; 7:2050313X19836351. [PMID: 30911390 PMCID: PMC6423680 DOI: 10.1177/2050313x19836351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 02/05/2019] [Indexed: 11/15/2022] Open
Abstract
Phlebectasia describes an anomalous, fusiform dilatation of a vein. In the neck
region, the internal and external jugular veins are mostly affected. To our
knowledge, this is the first case in Saudi Arabia of internal jugular
phlebectasia affecting an adult female. We describe a 61-year-old female with
complaints of a neck swelling she noticed 4 years ago. Initially, the swelling
increased in size and reached a stable level. It was asymptomatic and only
enlarged during Valsalva maneuver. Flexible nasolaryngoscopy and computerized
tomography scan showed unremarkable examination. Follow-up after 1 year with US
Doppler showed no progression. Internal jugular phlebectasia is a rare disorder
which is often diagnosed during childhood. More often than not, it does not
cause any significant morbidity. Since it is a benign condition, observation is
advised with regular monitoring. For asymptomatic lesions, surgical intervention
is recommended if cosmetic or psychologic concerns are present.
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Affiliation(s)
- Mazyad Alenezi
- Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Buraidah, Saudi Arabia
| | | | - Abdulhakeem Almutairi
- Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Buraidah, Saudi Arabia
| | - Sultan Alanazy
- Department of Otolaryngology, Head and Neck Surgery, College of Medicine, Qassim University, Buraidah, Saudi Arabia
| | - Osama Al Wutayd
- Department of Family and Community Medicine, Unaizah College of Medicine, Qassim University, Unaizah, Saudi Arabia
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Bansal AG, Oudsema R, Masseaux JA, Rosenberg HK. US of Pediatric Superficial Masses of the Head and Neck. Radiographics 2018; 38:1239-1263. [DOI: 10.1148/rg.2018170165] [Citation(s) in RCA: 73] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Anmol Gupta Bansal
- From the Department of Radiology, Kravis Children’s Hospital at the Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029
| | - Rebecca Oudsema
- From the Department of Radiology, Kravis Children’s Hospital at the Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029
| | - Joy A. Masseaux
- From the Department of Radiology, Kravis Children’s Hospital at the Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029
| | - Henrietta Kotlus Rosenberg
- From the Department of Radiology, Kravis Children’s Hospital at the Mount Sinai Hospital, One Gustave L. Levy Place, New York, NY 10029
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Chua E, Udom V, Huang DY. Internal jugular vein aneurysm in an adult: diagnosis on non-invasive imaging. BMJ Case Rep 2018; 2018:bcr-2017-223593. [PMID: 29545436 DOI: 10.1136/bcr-2017-223593] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
We report the case of a 48-year-old man with a right fusiform internal jugular venous aneurysm, presenting as a unilateral painless neck swelling on coughing or laughing. This is a rare condition, more commonly seen in the paediatric population and can be diagnosed using non-invasive modalities such as Doppler ultrasound and contrast-enhanced CT. This anomaly is frequently misdiagnosed or overlooked, and our case highlights the importance of considering venous aneurysm as a differential to prevent invasive imaging and inappropriate management.
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Affiliation(s)
- Elise Chua
- Medicine, King's College Hospital NHS Foundation Trust, London, UK
| | - Valerie Udom
- Department of Radiology, King's College Hospital, London, UK
| | - Dean Y Huang
- Department of Radiology, King's College Hospital, London, UK
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Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling. Case Rep Pediatr 2017; 2017:9278728. [PMID: 29403669 PMCID: PMC5748313 DOI: 10.1155/2017/9278728] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Accepted: 12/03/2017] [Indexed: 11/18/2022] Open
Abstract
Internal jugular vein (IJV) phlebectasia is a rare condition presenting as a self-reducible soft tissue swelling of the neck due to fusiform dilation of the venous wall. We report the case of a 7-year-old boy who presented with painless soft mass in the side of the neck which appears during coughing and straining and reduces spontaneously. Diagnosis was confirmed by Doppler ultrasonography and magnetic resonance imaging of the neck. Conservative management and regular follow-up were considered. In this case report, we highlight this rare benign condition as an uncommon differential of neck swellings in order to avoid unnecessary diagnostic workup and interventions.
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15
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Jugular phlebectasia in adult—an overlooked cause of cervical pain. Neurol Sci 2017; 38:1703-1704. [DOI: 10.1007/s10072-017-2984-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 04/28/2017] [Indexed: 10/19/2022]
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