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Bilateral
Internal Jugular Phlebectasia
In An Adult
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Introduction
Laryngoceles
Pharyngoceles
Jugular Phlebectasia
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congenital venous cyst
Harris (192!
bilateral "hlebectasia in a child
#alsh (1992!
$%ins %ith unilateral "hlebectasia&el 'osarioPhil) (199*!
+ "hlebectasia
,er%ig (19-2!
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.b/ective
$o re"ort a case o0 bilateral internal
/ugular "hlebectasia in an adult
and "roote a%areness o0 the disease)
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6hie0 6o"laint
bilateral nec5 asses
that a""ear on straining
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(8! nec5 ass L
on s%allo%ing
(8! enlargeent
History o0 Present Illness
* onths P$6
.P&
consult
onths P$6 (8! nec5 ass '
on straining
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'evie% o0 7ystes Past 4edical
:aily History Personal;7ocial History
ABL3
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=ec5 3?aination
'est @alsalva
P) 3)
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Laryngosco"y
no asses
no bulging 0alse cords
good vocal cord obility
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1) Pharyngoeso"hagogra
Ancillary Procedures
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2)
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Level 6
'est
@alsalva
1-C
11DC
E) 6$ 76A=
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Level 6
'est
@alsalva
1C 1-C
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&iagnosis
Bilateral Internal Jugular Phlebectasia
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=ec5 asses on straining
&I76
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Pharyngoceles F 4ediastinal asses
Bombay Hospital Journal Online
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9C o0 "ediatricians
DC o0 "ediatric surgeonsE*C o0 .$.LA'G=,.L.,I7$7
=.$ A#A'3
7anders 1999
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A rare disease
4ostly in children:reuently unilateral
Al-Dousary Int J Pediatr
Otorhinolaryngol 1997 Jan
Jugular Phlebectasia
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6linicoradiologic diagnosis
La Monte, Arch Otolaryngol 1976
No!1"#$11%&7"6-'
nec5 ass on straining
radiologic evidence o0 /ugular
dilatation
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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
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4uscle layer de0ects
$hinning o0 tunica edia
Go5oori =%a5o
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1)1) 6onservative6onservative
Advice and reassuranceAdvice and reassurance
2)2) 7urgery7urgery
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6onclusion
Jugular "hlebectasia can occur %ith
bilateral involveent in adults)
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,ood 4orning
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