Adventitial cystic disease of the common femoral vein: an unusual cause of lower extremity swelling and review of the literature

Joedd H. Biggs, Manju Kalra, John A. Skinner, Randall R. DeMartino

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a 61-year-old man who had presented with acute unilateral limb swelling. Computed tomography venography and duplex ultrasound demonstrated compression of the right common femoral vein by a common femoral vein adventitial cyst. Before intervention, the patient had developed an acute deep vein thrombosis of the right common femoral vein and great saphenous vein. Preoperative magnetic resonance imaging demonstrated concern for synovial connection. After 6 months of anticoagulation therapy, the patient underwent adventitial cyst excision with ligation of the hip joint articular connection. At 4 months postoperatively, the patient was symptom free without cyst recurrence. The findings from the present case support the synovial theory for adventitial cystic disease.

Original languageEnglish (US)
Pages (from-to)610-616
Number of pages7
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume7
Issue number4
DOIs
StatePublished - Dec 2021

Keywords

  • Adventitial cystic disease
  • Femoral vein
  • Synovial cyst
  • Venous thrombosis

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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