Internal Jugular Vein Phlebectasia Presenting with Hoarseness of Voice

Chakraborty, Sohini; Dey, Pranab; Roy, Amrita; Bagchi, Nilay Ranjan; Sarkar, Debansu; Pal, Sourav

doi:10.1155/2013/386961

Cited by 12 publications

(13 citation statements)

References 8 publications

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“…Therefore, any increase in the intrathoracic pressure could be directly conducted to the right IJV. [1] In our case, in contrary to the usual localization, phlebectasia was on the left side. Although the left IJV valves were clearly visible on the DUS scan (Figure 2), a functional undetectable valvular deterioration or incompetence of the left IJV valves might be the reason for possible pathophysiology.…”

Section: Discussioncontrasting

confidence: 67%

“…[6] Phlebectasia also differs from the varices with the lack of tortuosity. [1] Venous phlebectasia of the neck mostly occur in IJV, but some cases were reported in anterior jugular vein, external jugular vein, jugular bulb, and the posterior facial vein. [3,7] Internal jugular vein phlebectasia usually presents on the right side with a right to left ratio of 5.2:1.0.…”

Section: Discussionmentioning

confidence: 99%

“…[1,2,4] Various surgical treatment options exist such as ligation of the affected vein or complete resection of this ectatic segment. [11] The surgical procedure of the IJV phlebectasia mainly involves the ligation or excision of the involved jugular vein.…”

Section: Discussionmentioning

confidence: 99%

“…It is also known as the congenital venous cyst, essential venous dilatation or venous ectasia. [1] This pathology refers to a congenital saccular or fusiform dilatation of the jugular vein that appears as a soft and compressible mass in the neck. It becomes visible on strain like crying, coughing and sneezing or may be triggered by the Valsalva maneuver.…”

mentioning

confidence: 99%

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A rare internal jugular vein phlebectasia: Review of the literature

Başbuğ¹

2016

Turk Gogus Kalp Dama

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ÖZİnternal juguler ven flebektazisi boyunda şişlik ile baş gösteren nadir bir durumdur. Tek taraflı ya da iki taraflı olabilir ve Valsalva ile belirgin hale gelir. Doğuştan bir oluşum bozukluğudur ve genellikle çocukluk çağında karşılaşılır. Flebektazi tabiri anevrizmadan farklıdır. İlkinde veni boydan tutan homojen fuziform bir genişleme varken, ikincisinde lokalize bir ektazi görülür. Flebektazi ayrıca tortiyozitesi olmaması nedeniyle varislerden de farklıdır. Genellikle asemptomatiktir ve tanı tesadüfen konulur. Etyolojisi bilinmemekle beraber daha iyi görüntüleme tekniklerinin ortaya çıkmasıyla daha fazla tespit edilir hale gelmiştir. Bu yazıda, tek taraflı sol internal juguler ven flebektazisi olan erişkin bir hasta radyolojik görüntüler eşliğinde sunuldu. Bildiğimiz kadarıyla, yakın tarihli literatürde çoğunluğu çocuk olan sadece 50 kadar olgu vardır.Anah tar söz cük ler: Anevrizma; internal juguler ven; flebektazi. ABSTRACTInternal jugular vein phlebectasia is a rare condition that presents with neck swelling. It can be either unilateral or bilateral, and becomes apparent with Valsalva. It is a congenital malformation and usually encountered in childhood. The term phlebectasia differs from aneurysm. While the former has a homogenous fusiform dilatation of the whole length of the vein, a localized ectasia is observed in the latter. Phlebectasia also differs from the varices due to the lack of tortuosity. It is usually asymptomatic and diagnosed incidentally. Although its etiology is unknown, it has become more detectable thanks to the availability of superior imaging techniques. In this article, we present an adult patient with unilateral left-sided internal jugular vein phlebectasia with radiological images. To our knowledge, there are only about 50 cases in the recent literature most of which are children.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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A rare internal jugular vein phlebectasia: Review of the literature

Başbuğ¹

2016

Turk Gogus Kalp Dama

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“…It is twice more common in boys as compared to girls and usually occurs on the right side [4]. The etiology of this disease is unclear and is attributed to anatomic abnormality, mechanical compression, trauma, and congenital defects [5]. It is usually asymptomatic but can cause hoarseness of voice or Horner's syndrome and can be complicated by thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling

Bhattacharya

Endrakanti

Kumar

2017

Case Reports in Pediatrics

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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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Neck masses due to internal jugular vein phlebectasia: Frequency in Menkes disease and literature review of 85 pediatric subjects

Stevens

Price

Marko

et al. 2020

American J of Med Genetics Pt A

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Classic Menkes disease is a rare X-linked recessive disorder of copper metabolism caused by pathogenic variants in the copper transporter gene, ATP7A. Untreated affected individuals suffer failure to thrive and neurodevelopmental delays that begin at 6-8 weeks of age and progress inexorably to death, often within 3 years. Subcutaneous injections of Copper Histidinate (US Food and Drug Administration IND #34,166, Orphan product designation #12-3663) are associated with improved survival and neurological outcomes, especially when commenced within a month of birth. We previously identified internal jugular vein phlebectasia (IJP) in four Menkes disease subjects. This feature and other connective tissue abnormalities appear to be consequences of deficient activity of lysyl oxidase, a copper-dependent enzyme. Here, we report results from a prospective study of IJP based on 178 neck ultrasounds in 66 Menkes subjects obtained between November 2007 and March 2018.Nine patients met the criterion for IJP (one or more cross-sectional area measurements exceeding 2.2 cm 2 ) and five subjects had clinically apparent neck masses that enlarged over time. Our prospective results suggest that IJP occurs in approximately 14% (9/66) of Menkes disease patients and appears to be clinically benign with no specific medical or surgical actionability. We surveyed the medical literature for prior reports of IJP in pediatric subjects and identified 85 individuals and reviewed the distribution of this abnormality by gender, sidedness, and underlying etiology. Taken together, Menkes disease accounts for 16% (15/94) of all reported IJP individuals. Neck masses from IJP represent underappreciated abnormalities in Menkes disease.

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Internal Jugular Vein Phlebectasia Presenting with Hoarseness of Voice

Cited by 12 publications

References 8 publications

A rare internal jugular vein phlebectasia: Review of the literature

A rare internal jugular vein phlebectasia: Review of the literature

Right Internal Jugular Vein Phlebectasia: A Rare Cause of Neck Swelling

Neck masses due to internal jugular vein phlebectasia: Frequency in Menkes disease and literature review of 85 pediatric subjects

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