Focal Ectasia of Internal Jugular Vein

Internal jugular vein ectasia is a venous anomaly commonly presenting as a unilateral neck swelling in children and adults. This condition is being increasingly recognized in recent years due to better imaging facilities [1]. There is a controversy about its etiology because there have been only sporadic reports of venous ectasia in the neck. The exact cause of this lesion still remains in question. Due to the rarity of this condition, a high index of suspicion is required once the other common causes are excluded. We present a case of focal ectasia of the internal jugular vein and discuss its management.