7/26/2019 Bilateral Phlebectasia

1/27

Bilateral

Internal Jugular Phlebectasia

In An Adult

7/26/2019 Bilateral Phlebectasia

2/27

Introduction

Laryngoceles

Pharyngoceles

Jugular Phlebectasia

7/26/2019 Bilateral Phlebectasia

3/27

congenital venous cyst

Harris (192!

bilateral "hlebectasia in a child

#alsh (1992!

$%ins %ith unilateral "hlebectasia&el 'osarioPhil) (199*!

+ "hlebectasia

,er%ig (19-2!

7/26/2019 Bilateral Phlebectasia

4/27

.b/ective

$o re"ort a case o0 bilateral internal

/ugular "hlebectasia in an adult

and "roote a%areness o0 the disease)

7/26/2019 Bilateral Phlebectasia

5/27

7/26/2019 Bilateral Phlebectasia

6/27

6hie0 6o"laint

bilateral nec5 asses

that a""ear on straining

7/26/2019 Bilateral Phlebectasia

7/27

(8! nec5 ass L

on s%allo%ing

(8! enlargeent

History o0 Present Illness

* onths P$6

.P&

consult

onths P$6 (8! nec5 ass '

on straining

7/26/2019 Bilateral Phlebectasia

8/27

'evie% o0 7ystes Past 4edical

:aily History Personal;7ocial History

ABL3

7/26/2019 Bilateral Phlebectasia

9/27

=ec5 3?aination

'est @alsalva

P) 3)

7/26/2019 Bilateral Phlebectasia

10/27

Laryngosco"y

no asses

no bulging 0alse cords

good vocal cord obility

7/26/2019 Bilateral Phlebectasia

11/27

1) Pharyngoeso"hagogra

Ancillary Procedures

7/26/2019 Bilateral Phlebectasia

12/27

2)

7/26/2019 Bilateral Phlebectasia

13/27

Level 6

'est

@alsalva

1-C

11DC

E) 6$ 76A=

7/26/2019 Bilateral Phlebectasia

14/27

Level 6

'est

@alsalva

1C 1-C

7/26/2019 Bilateral Phlebectasia

15/27

&iagnosis

Bilateral Internal Jugular Phlebectasia

7/26/2019 Bilateral Phlebectasia

16/27

=ec5 asses on straining

&I76

7/26/2019 Bilateral Phlebectasia

17/27

7/26/2019 Bilateral Phlebectasia

18/27

Pharyngoceles F 4ediastinal asses

Bombay Hospital Journal Online

7/26/2019 Bilateral Phlebectasia

19/27

9C o0 "ediatricians

DC o0 "ediatric surgeonsE*C o0 .$.LA'G=,.L.,I7$7

=.$ A#A'3

7anders 1999

7/26/2019 Bilateral Phlebectasia

20/27

A rare disease

4ostly in children:reuently unilateral

Al-Dousary Int J Pediatr

Otorhinolaryngol 1997 Jan

Jugular Phlebectasia

7/26/2019 Bilateral Phlebectasia

21/27

6linicoradiologic diagnosis

La Monte, Arch Otolaryngol 1976

No!1"#$11%&7"6-'

nec5 ass on straining

radiologic evidence o0 /ugular

dilatation

7/26/2019 Bilateral Phlebectasia

22/27

Phlebectasia in adultsPhlebectasia in adults

(chat), N *ngl J Med Jan+,196#

7u"erior vena cava7u"erior vena cava

Portal veinPortal vein

7a"henous vein7a"henous vein

7"lenic vein7"lenic vein

:eoro"o"liteal vein:eoro"o"liteal vein

:acial vein:acial vein

7/26/2019 Bilateral Phlebectasia

23/27

4uscle layer de0ects

$hinning o0 tunica edia

Go5oori =%a5o

7/26/2019 Bilateral Phlebectasia

24/27

7/26/2019 Bilateral Phlebectasia

25/27

1)1) 6onservative6onservative

Advice and reassuranceAdvice and reassurance

2)2) 7urgery7urgery

7/26/2019 Bilateral Phlebectasia

26/27

6onclusion

Jugular "hlebectasia can occur %ith

bilateral involveent in adults)

7/26/2019 Bilateral Phlebectasia

27/27

,ood 4orning