Key result
PTFE tube graft wrapping repairs right internal jugular phlebectasia in a 12-year-old boy.
Why the study?
Internal jugular phlebectasia is a rare and frequently misdiagnosed condition that can be mistaken for other causes of neck swelling in children.
Case Report (n=1)
Internal jugular phlebectasia should be considered in the differential diagnosis of neck swellings appearing on straining to avoid inappropriate investigations and treatment.
PTFE wrapping feasible in one pediatric jugular phlebectasia case; leaves open optimal indications and long-term outcomes.
Internal jugular phlebectasia (IJP) is a rare disease in which there is a fusiform dilatation of internal jugular vein, usually presenting as a neck mass in children. Accurate diagnosis from careful history, physical examination, and radiological study can be made. We report a 12-year-old boy with history of swelling appearing on the right side of the neck only on straining, coughing, or during a Valsalva maneuver. Diagnosis of right IJP was made. Exploration and wrapping the dilated segment in an 8-mm-diameter polytetrafluoroethylene tube graft was done. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJP as differential diagnosis while dealing with such a swelling to avoid invasive investigations and inappropriate treatment.
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Puneet Chibber (2012) conducted a case report in Internal jugular phlebectasia (n=1). Exploration and wrapping the dilated segment in an 8-mm-diameter polytetrafluoroethylene tube graft was evaluated. Exploration and wrapping of the dilated segment in an 8-mm-diameter polytetrafluoroethylene tube graft was performed for a 12-year-old boy with right internal jugular phlebectasia.