Images in Paediatrics
Phlebectasia of the right jugular vein
Flebectasia de la vena yugular derecha
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The physical examination was normal while the patient was at rest, but an elongated, soft and compressible painless mass did appear in the right side of the neck upon performance of the Valsalva manoeuvre (Appendix A, video 1).</p><p id="par0010" class="elsevierStylePara elsevierViewall">The cervical ultrasound scan showed a prominent right internal jugular vein, larger in diameter compared to the contralateral vein, that dilated with the Valsalva manoeuvre (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The Doppler ultrasound scan confirmed the presence of venous flow and absence of intraluminal thrombi (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Jugular vein phlebectasia is a rare condition characterised by a painless, soft and compressible cyst-like/fusiform swelling that appears in the neck of children on crying or straining. Seventy-five percent of cases are diagnosed in children, it is more frequent in boys and it most frequently involves the right brachiocephalic vein.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">It is diagnosed by means of ultrasound and Doppler ultrasound, which allow accurate identification of the disease along with verification of normal venous flow and the potential presence of thrombi.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Since this is a benign disorder, most authors recommend conservative management, reserving surgical repair for cases with complications or for cosmetic reasons.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This research project did not receive specific financial support from funding agencies in the public, private or not-for-profit sectors.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 487 "Ancho" => 1207 "Tamanyo" => 65206 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ultrasound examination: (A) Right internal jugular vein upon performance of the Valsalva manoeuvre, measuring 8.2 × 10.3 mm. (B) Left jugular vein at rest, with a maximum diameter of 5.8 mm.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 859 "Ancho" => 1074 "Tamanyo" => 90112 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Colour Doppler ultrasound: evidence of venous flow and absence of intraluminal thrombi.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A rare (and intermittent) cervical mass: phlebectasia of external jugular vein" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Ó Girón-Vallejo" 1 => "M. del Carmen Benítez-Sánchez" 2 => "V. Villamil" 3 => "J.P. Hernández-Bermejo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Chil pediatría." "fecha" => "2017" "volumen" => "88" "numero" => "5" "paginaInicial" => "688" "paginaFinal" => "690" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Flebectasia de la vena yugular interna" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Guerrero Fernández" 1 => "J. Guerrero Vázquez" 2 => "M.T. García Ascaso" 3 => "S. Olmedo Sanlaureano" 4 => "J.L. Luengo Casasola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Pediatría." 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"fecha" => "2006" "volumen" => "192" "numero" => "3" "paginaInicial" => "286" "paginaFinal" => "290" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16920419" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000006/v2_202407150516/S2341287924001571/v2_202407150516/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000006/v2_202407150516/S2341287924001571/v2_202407150516/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924001571?idApp=UINPBA00005H" ]
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