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KMID : 0882420090770010124
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Korean Journal of Medicine
2009 Volume.77 No. 1 p.124 ~ p.127
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Primary jugular venous ectasia: A rare cause of neck mass
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Kim Jung-Eun
Kim Sang-Wook
Kim Chee-Jeong
Lee Wang-Soo
Cho Eun-Jung
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Abstract
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Venous ectasia, also called phlebectasia or venous aneurysm, is an isolated saccular or fusiform dilatation of a vein. Ectasia of the internal jugular vein was once considered rare, but is increasing in apparent frequency due to the wide use of noninvasive diagnostic modalities. A 57-year-old woman was referred for right neck discomfort that had developed 1 month earlier. She complained of a non-painful right neck swelling, located anteromedial to the sternocleidomastoid muscle. Computed tomography and color Doppler ultrasonography showed a 2×1.7-cm right internal jugular venous ectasia. The size of the jugular venous ectasia decreased after compression with a probe and increased during the Valsalva maneuver. Here, we report the first Korean case of primary internal jugular venous ectasia, which presented as an asymptomatic right neck swelling.
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KEYWORD
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Aneurysm, Dilatation, Jugular veins, Neck
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