Phlebectasia of internal jugular vein

Case contributed by Maulik S Patel
Diagnosis probable

Presentation

Parents noticed recurrent swelling in right side of neck of child - about 2 mths. No trauma. No other complaints.

Patient Data

Age: 4 - 5 yrs
Gender: Male
ultrasound

Swelling pointed by parents  - Dilated, non-tortous, non-thrombosed internal jugular vein on right side. Swelling was clinically visible during valsalva only.

Maximum antero-posterior diameter of right IJV during valsava - 15 mm

Maximum antero-posterior diameter of left IJV during valsava - 8 mm

No other abnormality was noted in neck.

Case Discussion

Swelling pointed by parents, appears during valsalva only. It was a non-tortous, dilated, non-thrombosed right internal jugular vein.

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