발성 시 확대되는 4세 남아의 우측 경정맥류의 증례
A Case Report of a Four-Year Old Male Patient with Phlebectasia that Dilatates with Vocalization
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Local dilatation of blood vessels can occur in arteries, veins, or lymphatic vessels. Varicose veins that occur in the neck are even rarely reported. For neck mass found in children, when the size of the swellings increases during the Valsalva maneuver, chances are that there are the upper mediastinal tumors and/or cyst, laryngeal cyst or jugular venous ectasis. The child in this report showed a pain-free bulging on the neck that appears only when speaking and disappears when not. The cervical Doppler ultrasonography and computed tomography showed that the right internal jugular vein expanded up to 3×2 cm. There were no abnormalities detected on the palpation and no other specific findings except for bulging. This was a rare case of a child with jugular venous ectasis. We regarded it as a benign lesion and decided to monitor the case 6-months later without a surgical resection as we considered it not necessary.
Abstract
Local dilatation of blood vessels can occur in arteries, veins, or lymphatic vessels. Varicose veins that occur in the neck are even rarely reported. For neck mass found in children, when the size of the swellings increases during the Valsalva maneuver, chances are that there are the upper mediastinal tumors and/or cyst, laryngeal cyst or jugular venous ectasis. The child in this report showed a pain-free bulging on the neck that appears only when speaking and disappears when not. The cervical Doppler ultrasonography and computed tomography showed that the right internal jugular vein expanded up to 3×2 cm. There were no abnormalities detected on the palpation and no other specific findings except for bulging. This was a rare case of a child with jugular venous ectasis. We regarded it as a benign lesion and decided to monitor the case 6-months later without a surgical resection as we considered it not necessary.
참고문헌 (13)
- 김정은, "Primary jugular venous ectasia: A rare cause of neck mass", 대한내과학회지, 77(1), pp.124~127 (2009), 대한내과학회
- Paleri V, "Jugular phlebectasia : theory of pathogenesis and review of literature", Int J Pediatr Otorhinolaryngol, 57(2), pp.155~159 (2001)
- Lubianca-Neto JF, "Internal jugular phlebectasia in children", Am J Otolaryngol, 20(6), pp.415~418 (1999)
- Kasim KS, "Internal jugular vein phlebectasia in a child : a case report", Oman Med J, 34(5), pp.469~471 (2019)
- Garrow E, "Internal jugular phlebectasia : case report and review of the literature", Am J Surg, 108, pp.380~383 (1964)
- Yokomori K, "Internal jugular phlebectasia in two siblings : manometric and histopathologic studies of the pathogenesis", J Pediat Surg, 25(7), pp.762~765 (1990)
- LaMonte SJ, "Internal jugular phlebectasia. A clinicoroentgenographic diagnosis", Arch Otolaryngol, 102(11), pp.706~708 (1976)
- Chao HC, "Ultrasonographic diagnosis and color flow Doppler sonography of internal jugular venous ectasia in children", J Ultrasound Med, 18(6), pp.411~416 (1999)
- Jasinski RW, "CT and ultrasonographic findings in jugular vein ectasia", J Ultrasound Med, 3(9), pp.417~420 (1984)
- Bowdler DA, "Internal jugular phlebectasia", Int J Pediatr Otorhinolaryngol, 12(2), pp.165~171 (1986)
- Inci S, "Horner’s syndrome due to jugular venous ectasia", Child’s Nerv Syst, 11(9), pp.533~535 (1995)
- Hu X, "Congenital jugular vein phlebectasia", Am J Otolaryngol, 26(3), pp.172~174 (2005)
- Kwok KL, "Unilateral right-sided internal jugular phlebectasia in asthmatic children", J Paediatr Child Health, 36(5), pp.517~519 (2000)