ectatic jugular vein
Internal jugular vein ectasia is rare and usually asymptomatic Paroxysmal cough due to internal jugular vein ectasia has not been reported before Diagnosis can be made with ultrasound and Doppler When symptomatic ligation and excision of the ectatic vein is the treatment of choice. Internal jugular vein ectasia is a venous anomaly commonly presenting as a unilateral neck swelling in children and adults.
Unilateral Right Sided Internal Jugular Vein Ectasia In A Woman At Rest Download Scientific Diagram
Friedman et al 2009.
. They are often ignored or misdiagnosed. There is a controversy about its etiology because there have been only sporadic reports of venous ectasia in the neck. Internal jugular vein ectasia is a venous anomaly commonly presenting as a unilateral neck swelling in children and adults.
Usually it presents as an asymptomatic soft compressible neck swelling that increases in size on Valsalvas manoeuvre. Ultrasonography with Doppler before during and after valsalva manoeuvre is the preferred method for diagnosis. The treatment is conservative for asymptomatic patients and surgery is reserved for patients with.
Jugular vein ectasia is a venous anomaly that commonly presents itself as a unilateral neck swelling in children and adults. It descends in the carotid sheath with the internal carotid artery. These three patients were treated satisfactorily by operation and no recurrence in the following two years.
Venous ectasia dilation of veins or venules such as. It is commonly seen in children and young adults 1 2 3 and appears as soft compressible mass in the neck which becomes prominent on straining or performing Valsalva maneuver. Gruber first reported a phlebectasia of the lower part of the internal jugular vein in 1875 4.
Nign condition of jugular vein ectasia must be kept in mind to avoid unnecessary risky surgical procedures. Venous ectasias are benign conditions of the neck in which focal dilatations of veins occur. It is formed by the union of inferior petrosal and sigmoid dural venous sinuses in or just distal to the jugular foramen forming the jugular bulb.
Jugular vein distention or JVD is when the increased pressure of the superior vena cava causes the jugular vein to bulge making it most visible on the right side of a persons neck. Ectasia of the internal jugular vein is an isolated saccular or fusiform dilatation of the vein 2. The jugular bulb is not present at birth but develops over time.
Internal jugular vein ectasia--a rare cause. The external jugular vein begins near the mandibular angle just below or within the substance of the parotid gland. These rare lesions appear to be congenital dilatations of the veins and should not properly be called aneurysms as their histological structure is normal.
It also assists with blood flow down from the head when other major veins like the internal jugular vein are compressed or blocked. The size and location is somewhat dependent on pneumatization of the mastoid bone. Internal jugular external jugular or superficial veins are usually the affected ones in the neck.
This rare benign vas-cular abnormality may be under-reportedand frequently misdiagnosed possibly due to its benign nature. In the third case the bilateral internal jugular ectasia the right internal jugular vein were resected and the left internal jugular vein was enveloped with the resected vein. Chronic venous insufficiency often in the leg Jugular vein ectasia in the jugular veins returning blood from the head See also.
The internal jugular vein IJV is the major venous return from the brain upper face and neck. There are four main jugular veins two internal and two external. 1 Anatomy The jugular veins are paired right and left.
Internal jugular vein ectasia dilatation of the internal jugular vein is a rare clinical entity often undiagnosed. The anterior jugular vein is a paired blood vessel that drains the anterior aspect of the neck. The term dolichoectasia means dilated and elongated.
It is used to characterize arteries that have shown a significant deterioration of their tunica intima and occasionally the tunica media weakening the vessel walls and causing the artery to elongate and distend. It is rare to have bilateral neck swelling due to internal jugular vein ectasia. A typical history and complex of physical findings are associated with this entity.
Jugular vein ectasia is a rare benign condition. This condition is being increasingly recognized in recent years due to better imaging facilities 1. 1-3 By comparison a venous ectasia developing within the parotid portion of the retromandibular vein is rare with fewer than 10 cases reported in the literature.
There is also a pair of anterior jugular veins. Three cases of jugular venous ectasia in children were diagnosed preoperatively by selective venography. Ectasia of external jugular vein is a rare entity presenting as an intermittent neck swelling.
Epidemiology Dolichoectasias are more common in males 2. There is a controversy about its etiology because there have been only sporadic reports of venous ectasia in the neck. Our report describes right internal jugular vein ectasia in a.
High index of suspicion is required to diagnose the condition. This condition is being increasingly recognized in recent years due to better imaging facilities 1. The jugular veins are clinically significant in diagnosing some cardiovascular obstructions as well as useful routes for various types of medication and fluid administration.
Here we are reporting a patient with venous ectasia of the retromandibular vein and the common facial vein. Complications affecting the external jugular vein are relatively rare. Telangiectasias are small dilated blood vessels found anywhere on the body but commonly seen on the face around the nose cheeks and chin.
Inner ear adjacent jugular bulb IAJB Jugular bulb related inner ear dehiscence JBID The jugular bulb is a venous structure that can be located close to the inner ear. External jugular vein Vena jugularis externa The external jugular vein is a vein of the neck that arises from the union of the posterior division of the retromandibular vein and the posterior auricular vein. Conclusion Internal jugular vein ectasia in adult is a rare disease and relatively uncommon in female.
The external jugular vein is a superficial vein of the neck that drains blood from the parotid gland most of the scalp and side of the face then back to the heart. It emerges from the confluence of the superficial submandibular veins beneath the chin and drains into the external jugular vein. Vascular anomalies can be divided into two groups as vascular tumor and vascular malformation according to ISSVA 4.
Other terms used in literature to describe this condition include phlebectasia venous aneurysm venous cyst aneurysmal varix and venectasia 2 3. Venous ectasias in the neck are uncommon primarily occurring in the internal and external jugular veins. Gross anatomy Origin and course.
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