Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Multiple Aneurysms with Thrombosis on the Small Saphenous Vein

소복재정맥에서 발생한 혈전을 동반한 여러 개의 정맥류

  • Chan Kang (Department of Orthopedic Surgery, Chungnam National University School of Medicine) ;
  • Jae-Hwang Song (Department of Orthopedic Surgery, Konyang University Hospital) ;
  • Yougun Won (Department of Orthopedic Surgery, Yeonsei Barochuk Hospital) ;
  • Eric W. Tan (Department of Orthopedic Surgery, Keck School of Medicine of University of Southern California) ;
  • Gi-Soo Lee (Department of Orthopedic Surgery, Chungnam National University School of Medicine)
  • 강찬 (충남대학교 의과대학 정형외과학교실) ;
  • 송재황 (건양대학교병원 정형외과) ;
  • 원유건 (연세바로척병원 정형외과) ;
  • ;
  • 이기수 (충남대학교 의과대학 정형외과학교실)
  • Received : 2023.11.13
  • Accepted : 2023.12.11
  • Published : 2024.03.15
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Abstract

Several types of soft tissue masses occur in the lower extremities. A mass associated with blood vessels is often difficult to diagnose. A 15-year-old male patient visited the author's hospital with discomfort and edema in his right calf that had persisted for six months. A physical examination showed no palpable mass other than mild edema. Three masses were found during the ultrasound scan along the small saphenous vein. The masses had a cyst-like appearance and were filled with thrombus. In duplex ultrasound, vascular reflux was represented inside the masses. During surgery, it was suspected that vascular deformation occurred in the small saphenous vein, and simple ligation and resection treatments were performed. The patient was finally diagnosed with venous aneurysms accompanied by thrombosis based on the histology tests. The symptoms disappeared after surgery, and there were no recurrences or unusual findings at the follow-up one year later. Venous aneurysms occurring in the superficial veins of the lower extremities are rarely reported, but treatment and diagnosis are important. This paper reports a case of an aneurysm on the small saphenous vein.

Keywords

Acknowledgement

This work was supported by a grant from the Chungnam National University Sejong Hospital (2022).

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