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• W3204998625 abstract "A 5-year-old boy presented to our outpatient clinic with swelling on both sides of his neck. The parents reported observing an enlargement of the neck since the past two years, which was noted only when coughing or sneezing and soon downsized afterward. The presence of any pain or discomfort was denied. No history of trauma was reported. On physical examination, soft and cystic swelling bulged up with Valsalva maneuver in the level III and IV regions of both sides of the neck (Fig. 1 & video 1). The neck immediately returned to its ordinary appearance when resting. The color of the skin was unremarkable; no change in local temperature was detected, and no pulsation or bruit was palpated. The laboratory examination, including complete blood count, renal function, liver function, and electrolyte, was normal. Neck sonography revealed a normal appearance of the bilateral carotid sheath components in the resting state and considerable engorgement of bilateral internal jugular veins with straining (Fig. 2 & video 1). Non-enhanced computed tomography excluded vascular anomalies. Since the patient had no complaint, we opted for close regular observations. The following is the supplementary data related to this article:https://www.pediatr-neonatol.com/cms/asset/23749c72-a558-432e-8593-e1de09624f8c/mmc1.mp4Loading ...(mp4, 3.29 MB) Download video https://www.pediatr-neonatol.com/cms/asset/23749c72-a558-432e-8593-e1de09624f8c/mmc1.mp4Loading ...(mp4, 3.29 MB) Download video The classical manifestation of internal jugular phlebectasia (IJP) is a soft and painless mass on the lateral neck, which appears in the situation of elevated intrathoracic pressure, such as coughing, sneezing, and Valsalva maneuver, and resolves as soon as the pressure subsides. The laterality of IJP is mainly on the right side; bilateral IJP is uncommon.1Figueroa-Sanchez J.A. Ferrigno A.S. Benvenutti-Regato M. Caro-Osorio E. Martinez H.R. Internal jugular phlebectasia: a systematic review.Surg Neurol Int. 2019; 10: 106Crossref PubMed Scopus (12) Google Scholar Clinical presentation and physical examination raise the suspicion of IJP. Under real-time ultrasonography, marked variation in the size of the jugular vein between rest and the Valsalva maneuver is demonstrated.2Chao H.C. Wong K.S. Lin S.J. Kong M.S. Lin T.Y. Ultrasonographic diagnosis and color flow Doppler sonography of internal jugular venous ectasia in children.J Ultrasound Med. 1999; 18: 411-416Crossref PubMed Scopus (20) Google Scholar Ultrasonography is the diagnostic modality of choice, and the diagnosis of IJP was confirmed with an anteroposterior diameter of >15 mm under ultrasonography.3Eksioglu A.S. Senel S. Cinar G. Karacan C.D. Sonographic measurement criteria for the diagnosis of internal jugular phlebectasia in children.J Clin Ultrasound. 2013; 41: 486-492Crossref PubMed Scopus (10) Google Scholar IJP is a benign and asymptomatic abnormality. Conservative treatment with regular follow-up is recommended. However, for adverse situations, such as thrombosis, vascular structure compression, Horner's syndrome, or signs of rupture of the dilated vein, aggressive intervention is warranted.4Bindal S.K. Vasisth G.O. Chibber P. Phlebectasia of internal jugular vein.J Surg Tech Case Rep. 2012; 4: 103-105Crossref PubMed Scopus (15) Google Scholar The authors have no conflicts of interest relevant to this article. Corrigendum to “A boy who can puff his neck: Bilateral internal jugular phlebectasia” [PEDN 63 (1) (2022) 84–85]Pediatrics & NeonatologyVol. 63Issue 4PreviewThe article [2022;63(1):84-85] titled A boy who can puff his neck: bilateral internal jugular phlebectasia, published in this journal, has a mistake. The correct affiliation is “cDepartment of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan”. The authors apologize for this oversight. Full-Text PDF Open Access" @default.
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• W3204998625 title "A boy who can puff his neck: Bilateral internal jugular phlebectasia" @default.
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