Abstract
Idiopathic internal jugular phlebectasia, occurs either unilaterally or bilaterally affecting the internal jugular vein is a rare congenital variation often diagnosed during childhood. It usually presents with a benign swelling over the lateral side of neck on the affected side, seen on exertion. A-30-year old male was operated for anterior cervical dissectomy from right lateral approach and was diagnosed per-operatively as internal jugular phlebectasia.The surgery was abandoned at this stage on the advice of cardiothoracic surgeon to investigate the patient for the secondary etiological factors for internal jugular vein dilatation. The patient was reassured without any active intervention for the phlebectasia and cervical dissectomy was performed in the second surgery through the lateral approach from left side. This case is presented in view of rarity and suggested that during preoperative workup the nearby structures like carotid sheath should be evaluated by magnetic resonance imaging to avoid such per-operative surprises.
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References
LaMonte SJ, Walker EA, Moran WB. Internal jugular phlebectasia. A clinicoroengentographic diagnosis. Arch Otolaryngol 1976;102:706–8.
Ferreira LM, Haguette EF. Bilateral internal jugular Phlebectasia. Arq Int Otorrinolaringol 2007;11:220–3.
Pul N, Pul M. External jugular phlebectasia in children. Eur J Pediatr 1995;154:275–6.
Uzun C, Taskinalp O, Koten M, Adali MK, Karasalihoglu AR, Pekindil G. Phlebectasia ofleft anterior jugular vein. J Laryngol Otol 1999;113:858–60.
Walsh RM, Murty GE, Bradley PJ. Bilateral internal jugular phlebectasia. J Laryngol Otol 1992;106:753–4.
Walsh RM, Lannigan FJ, McGlashan JA, Bowdler DA. Jugular bulb phlebectasia. Int J Pediatr Otorhinolaryngol 1993;25:249–54.
Gordon DH, RoseJS, KottmeierP, Levin DC. Jugular vein ectasia in children. A report of 3 cases and review of the literature. Radiology 1976;118:147–9.
Nwako FA, Agugua NE, Udeh CA, Osuorji RI. Jugular phlebectasia. J Pediatr Surg 1989;24:303–5.
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Thulasiraman, V., Pandian, R.T.R., Cheralathan, S. et al. Internal jugular phlebectasia as an incidental finding in cervical spine surgery. IJOO 44, 471–473 (2010). https://doi.org/10.4103/0019-5413.69324
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DOI: https://doi.org/10.4103/0019-5413.69324