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

Year 2019, Volume: 10 Issue: 3, 88 - 90, 01.07.2019

Hasan Ekim , Meral Ekim

https://doi.org/10.33706/jemcr.609194

Cited By: 2

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

References

• 1. Ranero-Juarez GA, Sanchez-Gomez RH, Loza-Jalil SE, and Cano­ Valdez AM. Venous aneurysms of the extremities. Report of 4 cases and review of literature. Angiol 2005; 56:475481.
• 2. Gabrielli R, Rosati MS, Siani A, and lrace L. Management of symptomatic venous aneurysm. Scientific World Journal 2012. ID 386478.
• 3. Drac P, Utikal P, Köcher M, Cerna M, Kozak J, Bachleda P. Lesser saphenous vein aneurysm and popliteal vein aneurysm: Report of two cases and review of the literatüre. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2009; 153:289-92.
• 4. Ekim H, Kutay V, Tuncer M, Gultekin U. Management of primary venous aneurysms. Saudi M J 2004;25:303-307.
• 5. Chen Si, Clouse D, Bowser AN, and Rasmussen TE. Superficial venous aneurysms of the small saphenous vein. J Vasc Surg 2009;50:644-647.
• 6. lrwin C, Synn A, Kraiss L, Zhang Q Griffen MM, Hunter GC. Metalloproteinase expression in venous aneurysms. J Vasc Surg . 2008 Nov;48:1278-1285.
• 7. Haqqani OP, Stratigis JD, Maloney SP, O'Donnell TF and Lafrati MD. Primary tibial vein aneurysm: a source of pulmonary emboli. Phlebology 2013;28:191-194.
• 8. Nogueira-Barbosa MH, Engel EE, Simao MN, dos Santos AC, Junior JE. Giant thrombosed venous aneurysm in the calf: MRI characteristics and the target sign. Clinics 2010;65:341-344.
• 9. Gabrielli R, Rosati MS, Costanzo A, Chiappa R, Siani A, and Caselli G. Primary tibial vein aneurysm with recurrent pulmonary emboli. J Vasc Surg 2010;52:464-466.