Thrombosed phlebectasia of the external jugular vein with neck pain.

Jugular phlebectasia is a dilation of the vein. It is observed clinically as a soft, bulky tumour in the neck, with no pain. Rarely seen in adults, there are only a few cases described in the literature. We report a 72-year-old patient who reported a painful cervical mass. Extension studies led to the diagnosis of phlebectasia of the external jugular vein with partial thrombosis. The elective treatment is conservative, but considering the possibility of rupture or thromboembolic complication, we performed surgical exeresis of the lesion.