Venous Ectasia: A Potential Mimicker for Laryngocele Radiology Covers the Road

Abstract

Introduction: Venous ectasia is rare causes of neck mass. Among neck veins, ectasia of the internal jugular vein (IJV) are extremely uncommon. However, this is to be kept in mind when considering differentials for laryngocele. Objectives: To recognize the similarities between laryngocele and ectasias of the IJV and the differences in their presentation and management. Study design: Observational. Setting: Tertiary care hospital, India. Conclusion: Presenting a 7-year-old boy with a left-sided soft, non-tender neck mass that fluctuated in size with coughing and straining for the past 1 year, presentation classical of laryngo cele. Computed tomography (CT) demonstrated marked asymmetrical dilatation of the left IJV in the neck. Color-flow Doppler ultrasonography revealed a solitary cystic lesion with evidence of high venous blood flow in the IJV area. The rele vance of radiological evaluation in neck swelling is being high lighted.