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
Resumo
Palavras-chave
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
Referências
1 Jeon CW, Choo MJ, Bae IH, et al. Diagnostic criteria of internal jugular phlebectasia in Korean children. Yonsei Med J. 2002;43(3):329-34.
2 Rajendran VR, Vasu CK, Regi George AN, Anjay MA, Anoop P. Unilateral internal jugular phlebectasia. Indian J Pediatr. 2004;71(8):751-3.
3 Paleri V, Gopalakrishnan S. Jugular phlebectasia: theory of pathogenesis and review of literature. Int J Pediatr Otorhinolaryngol. 2001;57(2):155-9.
4 Harris RI. Congenital venous cyst of the mediastinum. Ann Surg. 1928;88:953-6.
5 Gong TS, Li TS. Resectable fusiform internal jugular vein aneurysm with vascular excision and bypass with an 8 mm Maquet graft: a case report. Medicine (Baltimore). 2023;102(16):e33582.
6 Ocampos JR, Granato L, Padula F. Flebectasia da jugular interna em criança: relato de caso e revisão da literatura. Rev Bras Otorrinolaringol. 1999;65(2 pt 1):181-4.
7 Ferreira LMBM, Haguette EF. Flebectasia jugular interna bilateral. Arq Bras Otorrinolaringol. 2007;11(2):220-3.
8 Berto MH, Cervelin JC, Berto J, Knihs PR. Flebectasia da veia jugular interna em criança: relato de caso. Rev Pediatr SOPERJ. 2021;21(4):206-10.
9 Gerwig WH Jr. Internal jugular phlebectasia. Ann Surg. 1952;135(1):130-3.
10 Figueroa-Sanchez JA, Ferrigno AS, Benvenutti-Regato M, Caro-Osorio E, Martinez HR. Internal jugular phlebectasia: a systematic review. Surg Neurol Int. 2019;10:106.
11 Alrabea S, Eshky A, Albilasi T, Alenezi M, Bawazir S. Internal jugular phlebectasia in pediatric patients: a report of two Saudi cases. J Surg Case Rep. 2021;2021(12):rjab555.
12 Sander S, Eliçevik M, Unal M, Vural O. Jugular phlebectasia in children: is it rare or ignored? J Pediatr Surg. 1999;34(12):1829-32.
13 Oliveira RC, Assis CM, Coraçari AR, Molina FD, Maniglia JD. Flebectasia jugular em crianças: relato de caso. Rev Bras Otorrinolaringol. 2004;70(2):265-7.
14 Bansal AG, Oudsema R, Masseaux JA, Rosenberg HK. US of pediatric superficial masses of the head and neck. Radiographics. 2018;38(4):1239-63.
15 Lubianca-Neto JF, Mauri M, Prati C. Internal jugular phlebectasia in children. Am J Otolaryngol. 1999;20(6):415-8.
16 Bora MK. Internal jugular phlebectasia: diagnosis by ultrasonography, Doppler and contrast CT. J Clin Diagn Res. 2013;7(6):1194-6.
17 Savi EP, Wagner F, Boppré R, Mamprim FC, Boppré A. Ressecção de aneurisma venoso em veia jugular externa direita. J Vasc Bras. 2010;9(4):245-8.
18 Husain P, Saxena S, Ahmed SK, Tapparwal A. Jugular vein phlebectasia (IJP): surgically manageable but ignored entity. Indian J Otolaryngol Head Neck Surg. 2022;74(Suppl 2):2372-5.
19 El Fakiri MM, Hassani R, Aderdour L, Nouri H, Rochdi Y, Raji A. Congenital internal jugular phlebectasia. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128(6):324-6.
20 Kasim KS, Hassan AM, Hassan HI, Al-Mughairi SM, Yassin FE, Rashad EA. Internal jugular vein phlebectasia in a child: a case report. Oman Med J. 2019;34(5):469-71.
Submetido em:
01/10/2024
Aceito em:
13/07/2025
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email