Vasc Spec Int.  2019 Mar;35(1):44-47. 10.5758/vsi.2019.35.1.44.

Popliteal Vein Aneurysm Associated with Varicose Veins, Hydrocele, and Multiple Congenital Osteomas: A Case Report and Review of the Literature

• Ghanem AM
• Sami M
• Heshmat A

• KMID: 2448815
• DOI: http://doi.org/10.5758/vsi.2019.35.1.44

Abstract

Popliteal vein aneurysms (PVAs) represent a rare form of venous aneurysms and necessitate prompt management because of their well-established risk of pulmonary embolism (PE). Herein, we report a rare case of PVA without PE, successfully treated with open surgical repair. A 27-year-old man presented to our vascular clinic with chronic pain and swelling in his left lower limb. He had a long history of facial surgeries for the removal of congenital multiple osteomas. Physical examination revealed varicosities with an abnormal distribution. Duplex ultrasound showed a left PVA measuring 2.3 cm in diameter and 4 cm in length. Open surgical excision of the PVA with lateral venorrhaphy was performed through a medial approach. Prophylactic anticoagulation was performed postoperatively. In this case, the PVA was detected, with a high degree of suspicion by the clinician, before it caused fatal PE. The patient was successfully treated with aneurysm excision and lateral venorrhaphy.

Keyword

Popliteal vein aneurysm; Osteomas; Varicose veins; Lateral venorraphy

MeSH Terms

Adult
Aneurysm*
Chronic Pain
Humans
Lower Extremity
Osteoma*
Physical Examination
Popliteal Vein*
Pulmonary Embolism
Ultrasonography
Varicose Veins*