THROMBOSED ANEURYSM OF THE SMALL SAPHENOUS VEINTHROMBOSED ANEURYSM OF THE SMALL SAPHENOUS VEIN

Abstract

lntroduction : lsolated venous aneurysm is defineci as an focal vascular dilatation that 

communicates with normal size venou s stru cture through a single channel, and it should not have 

any association with an arteriovenous communication ora pseudoaneurysm. Venous aneurysms may rarely 

bethrombosed. Here we present a female patientwith thrombosed venous aneurysm of the small 

saphenous vein.

Case Report: A 49 year-old woman was admitted to our hospital with complaints ofa growing mass at 

the left popliteal region during the last 18 months. Physical examination revealed a firm 

subcutaneous mass on the left popliteal region. Color tlow duplex imaging (CFDI) confirmed 

thrombosed saccular venous aneurysm of the small saphenous vein extending to the saphenopopliteal 

junction (SPJ) t h at measured approximately 3.2 cm in diameter. Surgical intervent ion was 

performed under spinal anesthesia . The aneurismal mass was relatively thin walled and was occluded 

by blood clot. Her postoperative course was uneventful and her symptoms resolved. Histologi c 

findings were consistent withvenous aneurysm.

Conclusion: in order to prevent the risk of deep venous thrombosis and even pulmonary embolism, we 

think that thrombosed venous aneurysms close to the saphenopoplitealjunction should be operated 

without delay.

Keywords

• Venous Aneurysm,Thrombosis

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