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Popliteal Vein Aneurysm Associated with Varicose Veins, Hydrocele, and Multiple Congenital Osteomas: A Case Report and Review of the Literature
Vascular Specialist International 2019;35:44-47
Published online March 31, 2019;  https://doi.org/10.5758/vsi.2019.35.1.44
© 2019 Vascular Specialist International.

Ahmed Mohamed Taher Ghanem, Mohamed Sami, Ahmed Heshmat

Department of Vascular Surgery, Nasser Institute for Research and Treatment, Cairo, Egypt
Correspondence to: Ahmed Mohamed Taher Ghanem, Department of Vascular Surgery, Nasser Institute for Resarch and Treatment, 1351 Kournish El-Nile, Aghakhan, Cairo 11614, Egypt, Tel: 20-02-040-4712388, Fax: 20-02-02-22039236, E-mail: Profdrghanem2012@yahoo.com, https://orcid.org/0000-0002-9779-5027
Received October 17, 2018; Revised February 10, 2019; Accepted February 13, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.

Keywords: Popliteal vein aneurysm, Osteomas, Varicose veins, Lateral venorraphy


March 2019, 35 (1)
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