Superficial venous aneurysm of the great saphenous vein: a case report
Keywords:Great saphenous vein aneurysm, Lower extremity superficial venous aneurysm, Femoral hernia
Superficial venous aneurysms are rare clinical entity. They can remain asymptomatic to be detected incidentally or can present with pain. They can be readily diagnosed by duplex ultrasonography or discovered only during surgical exploration. The objective of this clinical case report is to highlight this rare occurrence and avoid misdiagnosis. A 69-year-old male presented at our tertiary care hospital with complaints of pain and swelling which was gradually increasing in size. Initially it was misdiagnosed to be femoral hernia, and the diagnosis of Great Saphenous Vein aneurysm was made following duplex ultrasonography. Following which, the patient underwent successful surgical excision.
Ekim H, Kutay V, Tuncer M, Gultekin U. Management of primary venous aneurysms. Saudi Medical Journal. 2004;25(3):303-7.
Gabrielli R, Rosati MS, Siani A, Irace L. Management of Symptomatic Venous Aneurysm. The Scientific World Journal. 2012;386478.
Chen SI, Clouse WD, Bowser AN, Rasmussen TE. Superficial venous aneurysms of the small saphenous vein. Journal of Vascular Surgery. 2009;50(3):644-7.
Keshelava G, Beselia K, Nachkepia M, Chedia S, Janashia G, Nuralidze K. Surgical Treatment of the Great Saphenous Vein Aneurysm Resulting in Pulmonary Embolization in Two Patients. Annals of Vascular Surgery. 2011;25(5):700.e13-5.
Gillespie DL, Villavicencio JL, Gallagher C, Chang A, Hamelink JK, Fiala LA et al. Presentation and management of venous aneurysms. Journal of Vascular Surgery. 1997;26(5):845-52.
de Miranda JS, Damous SH, Júnior MF, Yoo JH, Yassushi ET, Zuardi A et al. Great saphenous vein aneurysm: A differential diagnosis of femoral hernia and review. International Journal of Surgery Case Reports. 2015;8:154-7.
Schatz IJ, Fine G. Venous Aneurysms. New England Journal of Medicine. 1962;266(25):1310-12.
Seo SH, Kim MB, Kwow KS, Kim CW, Oh CK. Primary Venous Aneurysms of the Superficial Venous System. Angiology. 2008;59(5):593-8.
Papadimitriou D, Tachtsi M, Pitoulias G, Atmatzidis S, Fycatas P, Christopoulos D. Venous Aneurysms – An Uncommon but Potentially Life-Threatening Disease: A Case Report. EJVES Extra. 2009;18(5):e53-6.
Lee HY, Lee W, Cho YK, Chung JW, Park JH. Superficial Venous Aneurysm: Reports of 3 Cases and Literature Review. Journal of Ultrasound in Medicine. 2006;25(6):771-6.
Rendón-Elías FG, Albores-Figueroa R, Arrazolo-Ortega LS, Torres-Alcalá F, Hernández-Sánchez M, Gómez-Danés LH. Thrombosed great saphenous vein aneurysm accompanied by venous thrombosis. Medicina Universitaria. 2015;17(67):97-101.
Pascarella L Al-Tuwaijri M, Bergan JJ, Mekenas LM. Lower Extremity Superficial Venous Aneurysms. Annals of Vascular Surgery. 2005;19(1):69-73.
Uematsu M, Okada M, Uematsu M. Primary Venous Aneurysms: Case Reports. Angiology. 1999;50(3):239-44.
Calligaro KD, Ahmad S, Dandora R, Dougherty MJ, Savarese RP, Doerr KJ et al. Venous aneurysms: Surgical indications and review of the literature. Surgery. 1995;117(1):1-6.