Thulasiraman V, Ramesh Pandian Tr, Cheralathan S, Ashok S
Institute of Orthopedics and Traumatology, Madras Medical College and Government General Hospital, Chennai, India.
Indian J Orthop. 2010 Oct;44(4):471-3. doi: 10.4103/0019-5413.69324.
Idiopathic internal jugular phlebectasia, occurs either unilaterally or bilaterally affecting the internal jugular vein is a rare congenital variation often diagnosed during childhood. It usually presents with a benign swelling over the lateral side of neck on the affected side, seen on exertion. A-30-year old male was operated for anterior cervical dissectomy from right lateral approach and was diagnosed per-operatively as internal jugular phlebectasia. The surgery was abandoned at this stage on the advice of cardiothoracic surgeon to investigate the patient for the secondary etiological factors for internal jugular vein dilatation. The patient was reassured without any active intervention for the phlebectasia and cervical dissectomy was performed in the second surgery through the lateral approach from left side. This case is presented in view of rarity and suggested that during preoperative workup the nearby structures like carotid sheath should be evaluated by magnetic resonance imaging to avoid such per-operative surprises.
特发性颈内静脉扩张症，可单侧或双侧发生，累及颈内静脉，是一种罕见的先天性变异，常在儿童期被诊断出来。它通常表现为患侧颈部外侧的良性肿胀，在用力时可见。一名30岁男性接受了右外侧入路的颈前清扫术，术中被诊断为颈内静脉扩张症。在心胸外科医生的建议下，此阶段手术被放弃，以便对患者进行颈内静脉扩张的继发病因调查。患者未因静脉扩张接受任何积极干预，而是得到了安抚，第二次手术通过左侧外侧入路进行了颈前清扫术。鉴于其罕见性，展示此病例并建议在术前检查时，应通过磁共振成像评估颈动脉鞘等附近结构，以避免此类术中意外情况。
