Introduction: Phlebectasia of the internal jugular vein is a rare clinical entity characterized by an isolated fusiform or saccular dilatation of the internal jugular vein, without torsion. Clinically, phlebectasia manifests as a cystic soft, painless, partially compressible non-pulsatile mass in the neck, which increases with Valsalva maneuver, during exertion, and spontaneously decreases during rest. To show that conservative treatment is the best modality for the treatment of phlebectasia in children. Results: The first patient presented is a 6-year-old boy who was diagnosed with phlebectasia of the right internal jugular vein by ultrasonography during Valsalva maneuver. The diagnosis was confirmed by magnetic resonance imaging of the neck vessels with contrast. The second patient is also a 10-year-old boy with an identical clinical course, so adequate diagnostics were performed, and the diagnosis of phlebectasia of the internal jugular vein on the right side was confirmed. The third case presented is a 5-year-old girl with a clinical presentation of phlebectasia of the right internal jugular vein, but in her case, radiological evaluation was postponed due to the decision of the parents. All patients presented with phlebectasia of the internal jugular vein were asymptomatic, so after appropriate diagnostics, conservative treatment and periodic monitoring in outpatient conditions were recommended. Conclusion: The decision on the modality of treatment of phlebectasia of the internal jugular vein in asymptomatic and some symptomatic patients involves conservative treatment and regular monitoring.
Davidović et al. (Thu,) studied this question.