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Adventitial cystic disease of the common femoral vein: an unusual cause of lower extremity swelling and review of the literature

Authors :
Manju Kalra
John A. Skinner
Randall R. DeMartino
Joedd H. Biggs
Source :
Journal of Vascular Surgery Cases, Innovations and Techniques, Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 610-616 (2021)
Publication Year :
2021
Publisher :
Elsevier, 2021.

Abstract

We report the case of a 61-year-old man who had presented with acute unilateral limb swelling. Computed tomography venography and duplex ultrasound demonstrated compression of the right common femoral vein by a common femoral vein adventitial cyst. Before intervention, the patient had developed an acute deep vein thrombosis of the right common femoral vein and great saphenous vein. Preoperative magnetic resonance imaging demonstrated concern for synovial connection. After 6 months of anticoagulation therapy, the patient underwent adventitial cyst excision with ligation of the hip joint articular connection. At 4 months postoperatively, the patient was symptom free without cyst recurrence. The findings from the present case support the synovial theory for adventitial cystic disease.

Details

Language :
English
ISSN :
24684287
Volume :
7
Issue :
4
Database :
OpenAIRE
Journal :
Journal of Vascular Surgery Cases, Innovations and Techniques
Accession number :
edsair.doi.dedup.....8e94fe531e907860048c4cb34b2a536f