Kasim Kasim S, Hassan Abdulrhim Mohammed, Hassan Hassan Ibrahim, Al-Mughairi Sulaiman Mohammed, Yassin Fawzy Elsayed, Rashad Essam Ahmed
ENT Department, Ibra Hospital, Ibra, Oman.
Radiology Department, Ibra Hospital, Ibra, Oman.
Oman Med J. 2019 Sep;34(5):469-471. doi: 10.5001/omj.2019.85.
Neck swellings that appear on straining, crying, and Valsalva maneuver are usually suggestive of laryngocele. Phlebectasia of jugular veins can cause a similar sign but is rare compared to laryngocele. Jugular vein phlebectasia (JVP) is of unknown etiology and is caused by vein dilatation without tortuosity, which is rare in children. It transiently appears during straining as a soft cystic neck mass. Such cases are frequently misdiagnosed or managed inappropriately due to their rarity. We report a case of a four-year-old boy with right internal JVP and right hydrocele.
在用力、哭闹及瓦尔萨尔瓦动作时出现的颈部肿胀通常提示喉膨出。颈静脉扩张可引起类似表现,但与喉膨出相比少见。颈静脉扩张病因不明,由静脉扩张但无迂曲所致,在儿童中罕见。它在用力时短暂出现,表现为颈部柔软的囊性肿物。由于其罕见性,此类病例常被误诊或处理不当。我们报告一例4岁男孩患有右侧颈内静脉扩张及右侧鞘膜积液。