Adventitial Cystic Disease of the Femoral Vein: a Case Report with the CT Venography

Abstract

Fewer than 20 cases of adventitial cystic disease of the vein have been reported in the worldwide literature. This small number of reported cases may be due not only to the disease's low incidence, but also to the difficulty in making the proper diagnosis. Many techniques have been used to investigate this disease, but venography has been the traditional diagnostic tool. In this report we present a case of adventitial cystic disease that was well demonstrated by CT venography.

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

“…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.…”

“…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.…”

Kyste adventitiel de la veine fémorale

“…To our knowledge, less than 30 cases of ACD in veins have been reported in worldwide medical literature. [1][2][3][4][5] ACD of the veins has been documented in 25 patients with a mean age of 64 years (range, 23-73 years) and has occurred with an equal frequency in both genders: 15 men and 10 women. Most cysts appeared in the lower limbs, predominantly in the CFV.…”

Cystic adventitial disease of the common femoral vein

“…Furthermore, collateral vessels often form around the cystic mass, which may obscure the venous anatomy. CT and MR venography allow good visualisation of the cyst, the exact anatomical location and the presence and distribution of any collateral vessels 6. ACD often demonstrates a classical scalloped or hourglass appearance (figure 3).…”