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Rare left-sided presentation of internal jugular vein ectasia in an adult

The Valsalva maneuver can increase the size of the swelling and it usually involves the right side when intrathoracic pressure increases.1–4 The exact cause of this condition remains unknown; it is thought that inflammation, injury and straining could be contributing factors,1 but none were present...

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Bibliographic Details
Published in:Annals of Saudi medicine 2018-09, Vol.38 (5), p.381-382
Main Authors: Cheah, Siew Chung, Wong, Hui Tong, Lau, Chin Yee
Format: Article
Language:English
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Summary:The Valsalva maneuver can increase the size of the swelling and it usually involves the right side when intrathoracic pressure increases.1–4 The exact cause of this condition remains unknown; it is thought that inflammation, injury and straining could be contributing factors,1 but none were present in the history of our patient. See PDF]Figure 2 Ultrasonography of the internal jugular vein (arrow) A) at rest and B) distended during Valsalva maneuver with diameters 0.843 cm and 1.55 cm, respectively. Ultrasonography is recommended as the initial screening method especially for younger patients because it is quick, inexpensive, non-invasive and involves no radiation. 2–5 However, we chose a CT scan instead because our provisional diagnosis was laryngocele and we wanted to identify any structural abnormalities.
ISSN:0256-4947
0975-4466
DOI:10.5144/0256-4947.2018.381