Jugular phlebectasia manifesting as an unusual neck mass in a child

Reed, J.; Grewal, Harsh

doi:10.1016/s0002-9610(01)00711-5

Cited by 15 publications

(6 citation statements)

References 3 publications

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“…Phlebectasia describes a fusiform or saccular dilatation of a vein 4. It has been reported in all neck veins; the highest frequency in the IJVs, followed by external jugular and anterior jugular veins 5…”

Section: Discussionmentioning

confidence: 99%

Internal jugular vein aneurysm in an adult: diagnosis on non-invasive imaging

Chua¹,

Udom

Huang

2018

BMJ Case Reports

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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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Section: Discussionmentioning

confidence: 99%

Internal jugular vein aneurysm in an adult: diagnosis on non-invasive imaging

Chua¹,

Udom

Huang

2018

BMJ Case Reports

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“…Os casos sintomáticos com comprometimento bilateral se tornam um verdadeiro desafio para o cirurgião na escolha por qual dos lados intervir. Alguns autores defendem a cirurgia para casos assintomáticos pela tendência de crescimento da lesão e deformidade estética 1,2,4,5 .…”

Section: Discussionunclassified

“…Massas cervicais na infância que aparecem apenas ao esforço físico são raras, tendo como principais diagnósticos diferenciais laringocele, cisto ou tumor do mediastino superior e flebectasia jugular 1,2 . A flebectasia jugular é uma dilatação sacular ou fusiforme anormal da veia jugular descrita pela primeira…”

Section: Introductionunclassified

Flebectasia jugular em crianças: relato de caso

Oliveira

Assis²,

Coraçari

et al. 2004

Rev. Bras. Otorrinolaringol.

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Resumo / SummaryMassas cervicais na infância que aparecem apenas ao esforço físico são raras, tendo como principais diagnósticos diferenciais laringocele, cisto ou tumor do mediastino superior e flebectasia jugular. A flebectasia jugular é uma dilatação sacular ou fusiforme anormal da veia jugular. Relatamos um caso de flebectasia de veia jugular externa em uma criança saudável. Várias hipóteses têm sido propostas para explicar a etiologia da flebectasia jugular, dentre elas, a anormalidade anatômica de sua parede, compressão mecânica da veia braquiocefálica, lesões adquiridas da veia e idiopática. Geralmente, é uma condição assintomática, cujo diagnóstico pode ser estabelecido a partir de uma forte suspeita clínica, sendo comprovado por exames complementares. O tratamento pode ser conservador ou cirúrgico dependendo da sintomatologia. Neck masses that appear only on straining are rare in children and should be differentiated between laryngoceles, superior mediastinal tumors or cysts and jugular phlebectasia. The latter being an abnormal fusiform or saccular dilatation of the jugular vein. We report a case of external jugular phlebectasia in a healthy child. A variety of ethiological hypotheses have been proposed: anatomic abnormality of the vein, mechanical compression of the brachiocephalic vein, acquired lesion of the vein and idiopathic. Most patients are asymptomatic, the diagnosis can be established clinically and confirmed by imaging studies. Conservative or surgery management will be chosen according to the symptoms. Rev Bras Otorrinolaringol. V.70, n.2, 265-7, mar./abr. 2004 Palavras-chave: flebectasia, crianças, veia jugular. CASE REPORT RELATO DE CASO

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“…The macroscopic appearance of these lesions (fusiform versus saccular) seems to correlate with the age of the patient. However, saccular lesions do occasionally present in children [14] and fusiform jugular lesions, phlebectasias, have been reported in adults [13], especially in the anterior or external jugular veins [15]. …”

Section: Commentmentioning

confidence: 99%

“…In rare instances, an embolism or rupture of a venous aneurysm may occur in other locations, resulting in a surgical emergency or death, especially in the case of deep aneurysms of the abdominal region and the lower extremities [5, 17, 18]. Although no reports of life-threatening complications for jugular vein aneurysms exist, a surgical resection is the treatment of choice for saccular aneurysms in the jugular vein [8, 14, 16]. For jugular phlebectasias, by contrast, conservative follow-up is preferred [4, 6, 7, 10–13, 15], with excision only if the lesion is symptomatic, enlarging, or disfiguring [6, 7, 17].…”

Section: Commentmentioning

confidence: 99%

Acquired Jugular Vein Aneurysm

Hopsu

Tarkkanen

Vento

et al. 2009

International Journal of Otolaryngology

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Venous malformations of the jugular veins are rare findings. Aneurysms and phlebectasias are the lesions most often reported. We report on an adult patient with an abruptly appearing large tumorous mass on the left side of the neck identified as a jugular vein aneurysm. Upon clinical examination with ultrasound, a lateral neck cyst was primarily suspected. Surgery revealed a saccular aneurysm in intimate connection with the internal jugular vein. Histology showed an organized hematoma inside the aneurysmal sac, which had a focally thinned muscular layer. The terminology and the treatment guidelines of venous dilatation lesions are discussed. For phlebectasias, conservative treatment is usually recommended, whereas for saccular aneurysms, surgical resection is the treatment of choice. While an exact classification based on etiology and pathophysiology is not possible, a more uniform taxonomy would clarify the guidelines for different therapeutic modalities for venous dilatation lesions.

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Jugular phlebectasia manifesting as an unusual neck mass in a child

Cited by 15 publications

References 3 publications

Internal jugular vein aneurysm in an adult: diagnosis on non-invasive imaging

Internal jugular vein aneurysm in an adult: diagnosis on non-invasive imaging

Flebectasia jugular em crianças: relato de caso

Acquired Jugular Vein Aneurysm

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