Abnormal dilation of a normal anterior jugular vein is a rare anomaly and usually presents as a neck lump. To the best of our knowledge, this is the first report in the literature of such a case in which the patient presented with severe tinnitus. Excision of the dilated portion of the anterior jugular vein in our patient alleviated the severe tinnitus.
Abnormalities of the jugular venous system are uncommon. Phlebectasia refers to an isolated abnormal fusiform or saccular dilation of a vein.1,2 The internal jugular vein is the most commonly involved, followed by the external jugular vein; rarely is the anterior jugular vein involved.2,3