PMID: 2485573Jan 1, 1989Paper

Aneurysmal dilation of the saphenous vein. Case reports

Acta chirurgica Iugoslavica
D KosćakR Gligorović

Abstract

Three patients with aneurysmal dilations of the saphenous vein at the upper part of the leg have been presented. Arterial aneurysms are relatively frequent, but venous ones are exceptionally rare, and in the world literature, up-to-now, there have been reported about 300 such aneurysms. The most frequent localization of venous aneurysms is at the neck, and then at the area of upper and lower extremities. Diagnosis of aneurysmal dilated saphenous vein, in our three patients was done clinically and bu ascendent phlebographu, and Histologically, AS well Differential-diagnosis: arterial aneurysms, AV fistula, fomoral/inguinal hernias, enlarged lymphnodes and cold abscesses. If the venous aneurysm has been thrombosed, the correct diagnosis is more difficult, as it gives an impression of solid tumour. Complications of venous aneurysms are: rupture, thrombosis, recurrent, as well as fatal pulmonary embolism. The method of choice in the treatment of venous aneurysm is surgery; in our patients it consisted in resection of venous aneurysmal dilated vein together with the part of the vein itself.

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