Bora Manash Kumar
Associate Professor, Department of Radiology, Aarupadai Veedu Medical College and Hospital , Pondicherry-605001, India .
J Clin Diagn Res. 2013 Jun;7(6):1194-6. doi: 10.7860/JCDR/2013/5578.3085. Epub 2013 Jun 1.
Jugular phlebectasia is an isolated saccular or fusiform dilation of a vein without tortuosity. Its aetiology remains controversial. It is infradiagnosed, as it is generally asymptomatic. However, it has been increasingly recognized in recent years due to the better imaging techniques which are available. Phlebectasia of the Internal Jugular Vein (IJV) is a rare disease. It is mostly unilateral and it involves only the right side. It is usually a childhood disease which is diagnosed during the study of an intermittent neck mass. Its treatment is controversial. Presently, a conservative approach to unilateral or bilateral asymptomatic phlebectasia is recommended. Symptomatic phlebectasia requires surgery. The diagnosis is suggested by clinical features which can be confirmed by noninvasive radiology. This paper is reporting a case of unilateral right internal jugular phlebectasia in a 12 year old female patient who complained of an intermittent, right sided neck swelling, where we used UltraSonoGraphy(USG) with Doppler and Contrast enhanced CT(CECT) to evaluate the lesion.
颈静脉扩张症是一种静脉的孤立性囊状或梭形扩张，无迂曲。其病因仍存在争议。由于通常无症状，所以诊断不足。然而，近年来由于可用的更好的成像技术，其越来越受到认可。颈内静脉扩张症是一种罕见疾病。它大多为单侧，且仅累及右侧。它通常是一种儿童期疾病，在研究间歇性颈部肿块时被诊断出来。其治疗存在争议。目前，对于单侧或双侧无症状性颈静脉扩张症，建议采取保守治疗方法。有症状的颈静脉扩张症需要手术治疗。临床特征提示诊断，可通过无创放射学检查来确诊。本文报告一例12岁女性单侧右颈内静脉扩张症患者，该患者主诉右侧颈部间歇性肿胀，我们使用多普勒超声（USG）和增强CT（CECT）来评估该病变。
