Korean J Med.  2009 Jul;77(1):124-127.

Primary jugular venous ectasia: A rare cause of neck mass

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. wslee1227@dreamwiz.com

Abstract

Venous ectasia, also called phlebectasia or venous aneurysm, is an isolated saccular or fusiform dilatation of a vein. Ectasia of the internal jugular vein was once considered rare, but is increasing in apparent frequency due to the wide use of noninvasive diagnostic modalities. A 57-year-old woman was referred for right neck discomfort that had developed 1 month earlier. She complained of a non-painful right neck swelling, located anteromedial to the sternocleidomastoid muscle. Computed tomography and color Doppler ultrasonography showed a 2x.7-cm right internal jugular venous ectasia. The size of the jugular venous ectasia decreased after compression with a probe and increased during the Valsalva maneuver. Here, we report the first Korean case of primary internal jugular venous ectasia, which presented as an asymptomatic right neck swelling

Keyword

Aneurysm; Dilatation; Jugular veins; Neck

MeSH Terms

Aneurysm
Dilatation
Dilatation, Pathologic
Female
Humans
Jugular Veins
Middle Aged
Muscles
Neck
Ultrasonography, Doppler, Color
Valsalva Maneuver
Veins
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