Internal jugular phlebectasia in pediatric patients: a report of two Saudi cases
The second case involved a 5-year-old boy scheduled for tonsillectomy and was found to have a midline neck mass several years ago. The mass increased with coughing and valsalva maneuver. He had no contributive past medical history. He had no shortness of breath, dysphagia or snoring. The patient had recurrent tonsillitis and was found to have an incidental midline neck mass during the evaluation.\nOn examination, the midline mass was more toward to the right compressible neck mass. The mass was soft, with no skin change ().\nImaging examination of the patient was done by performing CT with contrast and US. US Doppler showed a right dilated internal jugular vein during coughing and the valsalva maneuver (). CT showed a wide right internal jugular vein (). Both cases managed conservatively with follow-up and no surgical intervention as they did not have any complication or cosmetic concerns.