An 8-year-old male presented with a mass in the left supraclavicular region
first noted 3 months earlier and which gradually became more prominent. Ul
trasound showed a lobular, well-delineated hypoechoic lesion which increase
d in size on Valsalva manoeuvre. Doppler waveform analysis suggested a slow
flow vascular lesion. Venography showed a saccular, multilobular venous ma
lformation which connected with the external jugular and subclavian veins.
With an angiographic catheter, the venous malformation was treated by endov
ascular sclerotherapy. Four weeks later, ultrasonography showed a resolutio
n of the lesion.
Conclusion Endovascular sclerotherapy appears to be an effective and safe t
reatment for jugular venous malformation.