Adventitial Cystic Disease of the Femoral Vein

Morizumi, Sei; Suematsu, Yoshihiro; Gon, Shigeyoshi; Shimizu, Tsuyoshi; Iwai, Takehisa

doi:10.1016/j.avsg.2010.03.007

Cited by 15 publications

(8 citation statements)

References 6 publications

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“…The etiology of CAD remains unclear, although various models including the trauma theory, the ganglion theory, the systemic disorder theory, and the developmental theory have been postulated. 23,26 The gelatinous mutinous substance in the cyst removed from our surgery and the postoperative pathological examination results are both consistent with manifestations of CAD as previously reported. Therefore, it is possible that the gelatinous mutinous fluid secreted from vessel adventitial cells formed adventitial cyst.…”

Section: Discussionsupporting

confidence: 90%

Cystic adventitial disease of the common femoral vein: A case report

Guo

2020

Vascular

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Objectives Cystic adventitial disease is an extremely rare vascular disorder and is often misdiagnosed. In order to improve the knowledge and treatment of this disease, a case of venous cystic adventitial disease was reported. Methods The whole processes about the diagnosis and treatment of one patient with venous cystic adventitial disease was retrospectively studied. Results This case of venous cystic adventitial disease was diagnosed accurately by contrast-enhanced computed tomography and treated successfully by surgical resection. No complications were detected after one-year post-operative follow-up. Conclusions Surgical resection is a safe and effective method for the treatment of venous CAD.

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Section: Discussionsupporting

confidence: 90%

Cystic adventitial disease of the common femoral vein: A case report

Guo

2020

Vascular

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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: 92%

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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“…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: 95%

“…The first option is cyst drainage with or without complete excision of the cyst wall. [2][3][4][5][6][7][8]10,[13][14][15]18 This method offers good immediate results with restoration of flow through the native vessel. However, recurrence is common when the cyst wall is not completely excised.…”

Section: Discussionmentioning

confidence: 99%