Popliteal Vein Aneurysm Associated with Varicose Veins, Hydrocele, and Multiple Congenital Osteomas: A Case Report and Review of the Literature
- Author:
Ahmed Mohamed Taher GHANEM
1
;
Mohamed SAMI
;
Ahmed HESHMAT
Author Information
- Publication Type:Case Report
- Keywords: Popliteal vein aneurysm; Osteomas; Varicose veins; Lateral venorraphy
- MeSH: Adult; Aneurysm; Chronic Pain; Humans; Lower Extremity; Osteoma; Physical Examination; Popliteal Vein; Pulmonary Embolism; Ultrasonography; Varicose Veins
- From:Vascular Specialist International 2019;35(1):44-47
- CountryRepublic of Korea
- Language:English
- Abstract: Popliteal vein aneurysms (PVAs) represent a rare form of venous aneurysms and necessitate prompt management because of their well-established risk of pulmonary embolism (PE). Herein, we report a rare case of PVA without PE, successfully treated with open surgical repair. A 27-year-old man presented to our vascular clinic with chronic pain and swelling in his left lower limb. He had a long history of facial surgeries for the removal of congenital multiple osteomas. Physical examination revealed varicosities with an abnormal distribution. Duplex ultrasound showed a left PVA measuring 2.3 cm in diameter and 4 cm in length. Open surgical excision of the PVA with lateral venorrhaphy was performed through a medial approach. Prophylactic anticoagulation was performed postoperatively. In this case, the PVA was detected, with a high degree of suspicion by the clinician, before it caused fatal PE. The patient was successfully treated with aneurysm excision and lateral venorrhaphy.
