Phlebectasia of the internal jugular vein - an accidental finding during contrast CT angiography

Abstract

The internal jugular phlebectasia is a rare vascular disorder. It is well known in children but infrequently reported in adults. This condition is characterized by an abnormally dilated internal jugular vein that is usually asymptomatic or may cause moderate symptoms of compression. Herewith, we report a case of an asymptomatic right-sided internal jugular phlebectasia in a 37-y-old male patient. During contrast CT angiography of the neck and upper thorax, we accidentally came across an enlarged fusiform segment (maximal diameter 22 mm) of the internal jugular vein. The clinical presentation of this interesting condition and the possible treatment options are discussed.