Abstract

Jugular phlebectasia is a rare condition, seen in children, on the right side. It is more commonly seen in the internal jugular vein as compared to the external jugular vein. In this case report, we present an adult female with a left sided external jugular venous phlebectasia. It usually presents as a neck swelling which increases in size on coughing, straining, Valsalva manoeuvre. Complications may include hoarseness of voice, Horner’s syndrome, phlebitis, thrombosis, intracranial extension and congestive cardiac failure. The treatment is usually conservative. Due to the rarity of this condition, it is often misdiagnosed. With this case report we would like to increase the awareness of this condition. If diagnosed correctly when present, will avoid unnecessary investigations and appropriate management can be undertaken swiftly. Though rare in adults, jugular phlebectasia should be considered as a possibility in all cases of left venous dilatation without associated co-morbidities.

Keywords: External jugular phlebectasia; Internal jugular phlebectasia; Venous dilatation; Jugular aneurysm

Abbreviations: EJV: External Jugular Phlebectasia; IJV: Internal Jugular Phlebectasia; USG: Ultrasonography