Volume 49, Issue 1 March 2025 JVU 491-38 | Prenatal Detection and Postnatal Confirmation of Internal Jugular Phlebectasia-Volume 49, Issue 1 March 2025 JVU 491-38 | Prenatal Detection and Postnatal Confirmation of Internal Jugular Phlebectasia

Volume 49, Issue 1 March 2025 JVU 491-38 | Prenatal Detection and Postnatal Confirmation of Internal Jugular Phlebectasia

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The document is an article from the "Journal for Vascular Ultrasound" detailing a case report on the prenatal detection and postnatal confirmation of internal jugular vein phlebectasia, a rare congenital venous anomaly. The report by Meagan J Shaw, published in 2025, involves a male infant whose neck mass was first identified through prenatal ultrasound imaging. Upon detailed examination using duplex ultrasound and later confirmation via computed tomography (CT), the infant was diagnosed with an internal jugular venous aneurysm, specifically internal jugular phlebectasia. This condition, characterized by unusual dilatation of the jugular vein, typically manifests in childhood and was asymptomatic in this case.<br /><br />The article highlights the condition's detection capabilities using non-invasive imaging techniques such as ultrasound and CT, emphasizing their role in early diagnosis and management. Internal jugular vein phlebectasia, although rare, should be considered when diagnosing neck masses in infants and young children. Typically, conservative management with regular follow-up is recommended, given the benign nature of most cases and the absence of significant complications like rupture.<br /><br />The discussion also outlines that while conservative management is often preferred, in some instances, surgical interventions can be necessary. These procedures aim to address potential complications like thrombosis or rupture and may involve techniques such as vein ligation and venoplasty. Despite these possibilities, there remains no standardized consensus on the optimal management strategy.<br /><br />This case report underscores the importance of early recognition through prenatal and postnatal ultrasound, facilitating timely monitoring and management to improve patient outcomes. Additionally, it mentions a study conducted at a trauma center, illustrating the significance of pediatric vascular ultrasounds in diagnosing a range of vascular conditions, crucial for effective treatment and management in young patients.

Keywords

internal jugular vein phlebectasia

prenatal detection

postnatal confirmation

venous anomaly

duplex ultrasound

computed tomography

conservative management

surgical intervention

pediatric vascular ultrasound

neck mass diagnosis