Abstract
Phlebectasia describes an anomalous, fusiform dilatation of a vein. In the neck
region, the internal and external jugular veins are mostly affected. To our
knowledge, this is the first case in Saudi Arabia of internal jugular
phlebectasia affecting an adult female. We describe a 61-year-old female with
complaints of a neck swelling she noticed 4 years ago. Initially, the swelling
increased in size and reached a stable level. It was asymptomatic and only
enlarged during Valsalva maneuver. Flexible nasolaryngoscopy and computerized
tomography scan showed unremarkable examination. Follow-up after 1 year with US
Doppler showed no progression. Internal jugular phlebectasia is a rare disorder
which is often diagnosed during childhood. More often than not, it does not
cause any significant morbidity. Since it is a benign condition, observation is
advised with regular monitoring. For asymptomatic lesions, surgical intervention
is recommended if cosmetic or psychologic concerns are present.