Arch Hand Microsurg.  2020 Mar;25(1):50-54. 10.12790/ahm.19.0070.

Venous Aneurysm in Superficial Venous Palmar Arch: A Case Report

• Kim S
• Park HS
• Moon BS

• KMID: 2501111
• DOI: http://doi.org/10.12790/ahm.19.0070

Abstract

Venous aneurysms in the upper limbs are a rare disease and are often misdiagnosed as benign tumors of soft tissues. Conservative treatment is considered in the absence of symptoms caused by venous aneurysms. However, if symptoms are present, surgical resection or vascular ligation of venous aneurysm may be necessary. A 56-year-old woman with no specific medical history and traumatic history of hand developed tenderness and radiation pain due to the palmar mass of her left hand and was diagnosed as venous aneurysm. After resection and ligation of venous aneurysm, patient's symptoms disappeared and there was no recurrence. Careful examination of the mass causing the symptom is necessary and the possibility of venous aneurysm should be considered.

Keyword

Venous aneurysm; Vascular lesion; Superficial venous palmar arch

Figure

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  Fig. 1. Palpable mass of the palm (preoperative medical photo).

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  Fig. 2. Color Doppler ultrasonography shows well-delineated mass (asterisk) measuring 8 mm in diameter. The mass was predominantly isoechoic and avascular.

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  Fig. 3. Magnetic resonance (MR) imaging of the hand. (A) T2-weighted MR image in the transverse plane shows a mass in the volar and ulnar side of the palm containing a hypointense thrombus (arrow). (B) T1-weighted MR image in the transverse plane obtained after intravenous administration of a gadolinium chelate shows unenhanced mass corresponding to the thrombus.

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  Fig. 4. Venous aneurysm in superficial venous palmar arch (intraoperative medical photo).

Reference

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