Affiliations 

  • 1 M.D (USM), M.Med (ORL-HNS) Department of Otorhinolaryngology-Head & Neck Surgery (ORL-HNS) School of Medical Sciences Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan Malaysia. Email: irfankb@usm.my
  • 2 MBBS, MD (CSMU) Ukraine Department of Otorhinolaryngology-Head & Neck Surgery (ORL-HNS) School of Medical Sciences Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan Malaysia
Malays Fam Physician, 2019;14(3):77-79.
PMID: 32175047

Abstract

Jugular phlebectasia has been increasingly recognised with the advent of non-invasive diagnostic methods. Phlebectasia differs from varix, as it is an abnormal outward dilatation of a vein without tortuosity. It presents as a soft, compressible mass, apparent upon straining or execution of the Valsalva maneuver. The differentials for neck masses are broad, but if the swelling appears on the Valsalva maneuver, the type of mass narrows down to a laryngocele, superior mediastinal mass or phlebectasia. A simple non-invasive investigation, such as ultrasonography, is used as a diagnostic tool. We report a case of jugular phlebectasia that was suspected clinically and confirmed via ultrasound to be a vascular lesion which changed its size upon straining.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.