Published: 2022-11-24

Right internal jugular vein phlebectasia-a rare cause of neck swelling in paediatric population

Varunkumar Jayakumar, Priyanka Kumar Arora


Reporting a case of an 8-year-old boy presenting with a right neck swelling appearing on straining which otherwise not seen with a diagnosis of right internal jugular vein phlebectasia. Paediatric population with neck swellings more commonly misdiagnosed clinically and hence with non-invasive radiological investigations like Ultrasonography with colour doppler and contrast enhanced computed tomography was done to confirm the diagnosis. Phlebectasias are at times incidental findings and stay asymptomatic, hence proper diagnosis with radiological investigations is needed as they are misdiagnosed with other neck swellings. Only few cases of internal jugular vein phlebectasias have been reported and approximately 20 cases have undergone surgery for cosmetic purposed and majority were managed conservatively like in our case report. This needs to be kept as a differential diagnosis in a paediatric patient presenting with neck swelling.


Phlebectasia, Internal jugular vein fusiform swelling, Neck swelling rare cause, Fusiform IJV, Valsalva maneuver

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Alrabea S, Eshky A, Albilasi T, Alenezi M, Bawazir S, Internal jugular phlebectasia in pediatric patients: a report of two Saudi cases. J Surgical Case Rep. 2021;12:rjab555.

Sander S, Eliçevik M, Unal M, Vural O. Jugular phlebectasia in children: Is it rare or ignored? J Pediatr Surg. 1999;34:1829-32.

Rajendran VR, Vasu CK, Regi George AN, Anja MA, Anoop P. Unilateral internal jugular phlebectasia. Indian J Paediatr. 2004;71:751-3.

Gerwig WH. Internal Jugular Phlebectasia. Ann Surg. 1952;135:130-3.

Zukschwerdt L. Rare localization of a venectasia. Dtsch Z Chir. 1929;216:283-5.

LaMonte SJ, Walker EA, Moran WB. Internal jugular phlebectasia: a clinicoroentgenographic diagnosis. Arch Otolaryngol. 1976;102:706-8.

Shimizu M, Takagi Y, Yoshio H, Takeda R, Matsui O. Usefulness of ultrasonography and Doppler color flow imaging in the diagnosis of internal jugular phlebectasia. Heart Vessels. 1992;7:95-8.

Bindal SK, Vasisth GO, Chibber P. Phlebectasia of internal jugular vein. J Surg Tech Case Rep. 2012;4(2):103-5.

Inci S, Bertan V, Kansu T, Cila A. Horner’s syndrome due to jugular venous ectasia. Childs Nerv Syst. 1995;11:533-5.