Adventitial Cystic Disease of the Femoral Vein: Report of a Case

Sugimoto, Tsutomu; Yamamoto, Kazuo; Tanaka, Satoshi; Saitou, Norihiko; Kikuchi, Chizuo; Motohashi, Shinya; Kasuya, S

doi:10.1007/s00595-003-2676-2

Cited by 23 publications

(16 citation statements)

References 7 publications

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“…[11][12][13][14][15] Axillary and radial artery involvement has also been reported. 16,17 Although CAVD usually presents in the second or fourth decade of life, it is predominantly seen in young healthy individuals with minimal cardiovascular risk factors.…”

Section: Discussionmentioning

confidence: 91%

Cystic Adventitial Disease of the Common Femoral Vein

Mousa

Alhalbouni

Abu-Halimah

et al. 2013

Vasc Endovascular Surg

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We report on a 52-year-old female patient who presented with a 6-month history of right lower extremity swelling and tenderness. The patient was treated as an outpatient with full anticoagulation, without any improvement. Her medical history was significant for hypertension and high cholesterol, and she had a full coagulopathy profile that was negative for any hypercoagulable syndrome. On examination, the patient was moderately obese, with significant tenderness over the medial aspect of the right groin. A venous duplex examination revealed hypoechoic structure ± acute deep vein thrombosis of right common femoral vein (CFV). A computed tomography of the venous phase revealed an eccentric compression over the medial wall of the right CFV. During surgical exploration, adventitial cystic mucinous disease was enucleated from the medial wall of the right CFV, and the pathological examination confirmed the diagnosis. The postoperative course was uneventful, and all swelling and tenderness were completely resolved. The patient continued to do well, and she had an unremarkable venous duplex evaluation at her 6-month follow-up.

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Section: Discussionmentioning

confidence: 91%

Cystic Adventitial Disease of the Common Femoral Vein

Mousa

Alhalbouni

Abu-Halimah

et al. 2013

Vasc Endovascular Surg

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“…There are only 32 reported cases of ACD of the vein in the world literature, including this case. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] In contrast, adventitial cystic disease of the artery is a well-described, if rare, cause of intermittent lower extremity arteriogenic claudication occurring in 1:1200 cases of claudication. 19,20 ACD of the artery involves the popliteal artery in 85% of cases.…”

Section: Discussionmentioning

confidence: 94%

“…A more contemporary option is resection of the affected portion of the vein and immediate reconstruction with prosthetic or autologous graft as performed in 5 cases. 8,9,11,12,17 Prosthetic graft was chosen in 4 cases and autologous axillary vein graft in 1 case. Recurrence of a cyst has not yet been reported after vein resection with reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis

Jones

Rezayat

Winchester

et al. 2012

Journal of Vascular Surgery

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Adventitial cystic disease of the vein is a rare vascular anomaly with 32 reported cases. A 5-year-old boy initially presented with painless leg swelling. He was misdiagnosed with deep vein thrombosis and treated with 3 months of warfarin. When swelling failed to improve, a magnetic resonance venogram showed a mural cystic lesion of the left common femoral vein. In the operating room, the cyst was excised, relieving the obstructive effect and restoring flow. The swelling resolved within days. This is the first reported case of adventitial cystic disease of the vein occurring in a pediatric patient.

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“…[2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] In our patient, the blood flow normalized in the affected vein without the need for reconstruction. The etiology of ACD is unknown, although various authors have suggested "ganglion," "synovial," "embryological," and "mesothelial" theories.…”

Section: Discussionmentioning

confidence: 98%

Adventitial Cystic Disease of the Popliteal Vein: Report of a Case

et al. 2006

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Adventitial cystic disease (ACD), also known as cystic mucoid or myxomatous degeneration, is a rare vascular disease seen mainly in arteries. It is very unusual for these cystic masses to develop in a vein. We report the case of a 56-year-old woman with leg swelling caused by ACD arising in the popliteal vein. The swelling appeared after a long period of standing. Magnetic resonance imaging (MRI) showed a popliteal cystic mass and venography showed disrupted venous flow. We resected the cyst wall without venous reconstruction, after which venous blood flow normalized and her symptoms subsided. To our knowledge, this is only the third documented case of ACD arising in the popliteal vein. A misdiagnosis could easily have been made, since the mass was not obvious on physical examination and the only symptom was intermittent swelling. Thus, it is important to be aware of ACD as a possible diagnosis when examining patients with a swelling in the leg.

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Adventitial Cystic Disease of the Femoral Vein: Report of a Case

Cited by 23 publications

References 7 publications

Cystic Adventitial Disease of the Common Femoral Vein

Cystic Adventitial Disease of the Common Femoral Vein

Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis

Adventitial Cystic Disease of the Popliteal Vein: Report of a Case

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