Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized

Alessandro Raffaele; Marta Gazzaneo; Piero Romano; Maria Sole Prevedoni Gorone; Luigi Avolio

doi:10.1055/a-2130-3269

European Journal of Pediatric Surgery Reports, Inhaltsverzeichnis

CC BY 4.0 · European J Pediatr Surg Rep. 2023; 11(01): e40-e43
DOI: 10.1055/a-2130-3269

Case Report

Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized

Alessandro Raffaele

¹Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy

,

Marta Gazzaneo

¹Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy

,

Piero Romano

¹Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy

,

Maria Sole Prevedoni Gorone

²Pediatric Radiology Unit, Department of Diagnostic and Interventional Radiology and Neuroradiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy

,

Luigi Avolio

¹Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, Italy

› Institutsangaben

Abstract

Congenital internal jugular phlebectasia (CIJP) is a rare condition characterized by congenital dilatation of the vein without tortuosity that becomes more evident during straining as a lateral neck mass. CIJP often remains undiagnosed from a few months to several years after the onset of the swelling. It is frequently asymptomatic although symptomatic cases have been occasionally reported. We present the case of a healthy 7-year-old boy with a lateral neck mass, triggered by the Valsalva maneuver. Neck ultrasound (US) showed right internal jugular axial ectasia, increasing during the Valsalva maneuver; contrast computed tomography (CT) scan confirmed a fusiform dilatation of the right internal jugular vein. Due to the lack of symptoms, we treated our patient conservatively. At 5 years of follow-up, the patient is still asymptomatic, with no evidence of complications or thrombosis. Due to its self-limiting nature, treatment for asymptomatic cases of CIJP should be conservative, providing a follow-up with both clinical and US annual evaluations.

Keywords

jugular vein - phlebectasia - neck mass

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