Flebektazija unutarnje jugularne vene: prikaz slučaja

Medica Jadertina (; Vol.40 No.3-4
Source: OAI


Internal jugular vein phlebectasia is a rare inborn anomaly in childhood, presented with an expansile cystic swelling in the neck, which becomes more prominent during the Valsalva's maneuvre performance, and whenever intrathoracic pressure is increased. In the present paper we present an eight-year-old boy with right internal jugular vein phlebectasia, which he has had since the age of two. Magnetic resonance (MR angiography) confirmed the diagnosis. Phlebectasia is asymptomatic. The parents did not agree with surgical treatment, but they have accepted monitoring the anomaly.

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    ABSTRACT: Internal jugular phlebectasia (IJP) is a fusiform dilatation of the internal jugular vein (IJV), usually presented as a neck mass in children. Accurate diagnosis from carefully directed history, physical examination, and radiological study could result in lifesaving therapy. We performed our study to suggest possible clinical diagnostic criteria for IJP in Korean children. We reviewed three cases of IJP (patients group) and compared the diameter of the internal jugular phlebectasias with diameters of IJVs in ten normal children (control group) using ultrasonography (USG). There were no significant differences in the range of diameters in the resting state between the two groups. The diameters on the right side, compared with those on the left side, showed no statistical significance (p > 0.05). The range of expanding diameter and average expanding ratios (resting state to Valsalva maneuver x 100%) showed a statistical difference between the two groups (p < 0.05).
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