e-ISSN:2149-7877 CONGENITAL JUGULAR PHLEBECTASIA: ANALYSIS OF TWO CASES 2 OLGU SUNUMU: KONJENİTAL JUGULER FLEBEKTAZİ Baş Boyun Cerrahisi Başvuru: 15.07.2015 Kabul: 01.09.2015 Yayın: 01.09.2015 Ayşe Enise Göker 1 , Ziya Saltürk 1 , Perihan Taşkale 2 , Enes Ataç 1 , Yavuz Uyar 1 1 Okmeydanı Eğitim ve Araştırma Hastanesi 2 Özel Sakarya Bilge Hastanesi Özet Konjenital Juguler flebektazi, internal juguler venin (IJV) torsiyon olmaksızın fusiform veya sakkuler dilatasyonudur. Genellikle, boyunda kitlesi olan çocuklarda yapılan testler sonucunda teşhis edilmiştir, bu sebeple konjenital orijinli olduğu düşünülmektedir. Boynun her iki tarafında görülebildiği gibi çoğu zaman boyun sağ tarafinda ve erkek çocuklar da kızlardan iki kat daha fazla görülmektedir. Asemptomatik olan bu kitlelerin boyutu ağlama, ıkınma, öksürme ve valsalva manevrası ile artmaktadır. Venöz kist, venöz anevrizma, juguler venöz ektazi, juguler flebektaziye verilen diğer isimlerdir. Abstract Congenital jugular phlebectasia is a rare clinical entity characterized by fusiform or saccular dilatation of the internal jugular vein (IJV) without torsion. Typically, it is diagnosed in children with a neck mass and is believed to be congenital in origin. It is more common on the right side of the neck and is twice as common in boys as in girls. These asymptomatic masses become larger with crying, straining, coughing, or the Valsalva maneuver. Venous cyst, venous aneurysm, and jugular venous ectasia are other names given to jugular phlebectasia Anahtar kelimeler: Juguler ven, Flebektazi Boyunda kitle Keywords: Jugular vein, Phlebectasia Neck neoplasms Introduction Congenital jugular phlebectasia is a rare clinical entity characterized by fusiform or saccular dilatation of the internal jugular vein (IJV) without torsion. Typically, it is diagnosed in children with a neck mass and is believed to be congenital in origin. It is more common on the right side of the neck and is twice as common in boys as in girls. These asymptomatic masses become larger with crying, straining, coughing, or the Valsalva maneuver. Venous cyst, venous aneurysm, and jugular venous ectasia are other names given to jugular phlebectasia. Case Report Case 1 An 18-year-old male first developed a right neck swelling at the age of 7 years while crying. He was admitted to our clinic at age 10 because his family was worried about the swelling. He had no history of surgery or trauma. On physical examination, the patient’s neck was of normal size during rest (Figure 1), but a 3×4-cm, smooth surfaced, painless, soft viscous mass was detected at the anterior aspect of the right sternocleidomastoid muscle (SCM) on coughing (Figure 2). Sorumlu Yazar: Ayşe Enise Göker, Okmeydanı Eğitim ve Araştırma Hastanesi ayseenise@hotmail.com Entcase 2015;2:58 Sayfa 1/5