Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized
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 swelli...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2023-01-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2130-3269 |
| _version_ | 1827855008093175808 |
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| author | Alessandro Raffaele Marta Gazzaneo Piero Romano Maria Sole Prevedoni Gorone Luigi Avolio |
| author_facet | Alessandro Raffaele Marta Gazzaneo Piero Romano Maria Sole Prevedoni Gorone Luigi Avolio |
| author_sort | Alessandro Raffaele |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T11:38:55Z |
| format | Article |
| id | doaj.art-d3442fef19f34b37ad9fd6a51d4ee48e |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-03-12T11:38:55Z |
| publishDate | 2023-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-d3442fef19f34b37ad9fd6a51d4ee48e2023-08-31T22:53:13ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272023-01-011101e40e4310.1055/a-2130-3269Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly RecognizedAlessandro Raffaele0https://orcid.org/0000-0002-5146-1486Marta Gazzaneo1https://orcid.org/0000-0002-5666-8830Piero Romano2Maria Sole Prevedoni Gorone3Luigi Avolio4https://orcid.org/0000-0002-3703-6969Pediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, ItalyPediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, ItalyPediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, ItalyPediatric Radiology Unit, Department of Diagnostic and Interventional Radiology and Neuroradiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, ItalyPediatric Surgery Unit, Department of Maternal and Child Health, Fondazione IRCCS Policlinico San Matteo, Pavia, Lombardia, ItalyCongenital 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.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2130-3269jugular veinphlebectasianeck mass |
| spellingShingle | Alessandro Raffaele Marta Gazzaneo Piero Romano Maria Sole Prevedoni Gorone Luigi Avolio Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized European Journal of Pediatric Surgery Reports jugular vein phlebectasia neck mass |
| title | Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized |
| title_full | Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized |
| title_fullStr | Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized |
| title_full_unstemmed | Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized |
| title_short | Congenital Internal Jugular Phlebectasia: An Anomaly Still Poorly Recognized |
| title_sort | congenital internal jugular phlebectasia an anomaly still poorly recognized |
| topic | jugular vein phlebectasia neck mass |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2130-3269 |
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