Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202400951
Jornal Vascular Brasileiro
Case Report

Flebectasia jugular interna: relato de caso e revisão bibliográfica

Internal jugular phlebectasia: case report and bibliographic review

Letícia Stefani Pacheco; Marcos Antonio Bonacorso Manhanelli Filho; José Augusto Costa

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Resumo

A flebectasia jugular interna é a dilatação anormal não tortuosa da veia jugular interna que forma uma massa cervical de caráter aneurismático sacular ou fusiforme, mais incidente em pacientes pediátricos do sexo masculino. As etiologias englobam trauma cervical, neoplasias ou cirurgias prévias. O quadro clínico geralmente é assintomático. Nos casos sintomáticos, a queixa mais frequente é dor na área cervical afetada. O diagnóstico é dado pela visualização da dilatação desencadeada pelo aumento da pressão intratorácica em ações como tossir ou chorar, sendo complementado por exames de imagem como a ultrassonografia com Doppler e a tomografia computadorizada. A conduta terapêutica é conservadora, sendo cirúrgica apenas na presença de queixas ou complicações.

Palavras-chave

 veias jugulares; dilatação; ectasia vascular

Abstract

Internal jugular phlebectasia is a non-tortuous abnormal dilation of the internal jugular vein that presents as a cervical mass with a saccular or fusiform aneurysmal appearance, more common in male pediatric patients. The etiologies include congenital, cervical trauma, tumors, and previous surgeries. The clinical picture is generally asymptomatic. In symptomatic cases, the most common complaint is pain in the affected cervical area. The diagnosis is established through viewing the dilation triggered by increased intrathoracic pressure in actions such as coughing or crying and is complemented by imaging studies such as Doppler ultrasounds and computed tomography scans. Therapeutic management is typically conservative, with surgical intervention reserved for cases with symptoms or complications.

Keywords

jugular veins; dilation; vascular ectasia

References

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Submitted date:
10/01/2024

Accepted date:
07/13/2025

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