Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Adventitial Cystic Disease of the Common Femoral Vein Mimicking Deep Venous Thrombosis: A Case Report

심부 정맥 혈전으로 오인된 총대퇴정맥에 생긴 외막낭성질환: 증례 보고

  • Sun Ha Min (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Jae Hyung Kim (Department of Radiology, Sanggye Paik Hospital, Inje University College of Medicine)
  • 민선하 (인제대학교 의과대학 상계백병원 영상의학과) ;
  • 김재형 (인제대학교 의과대학 상계백병원 영상의학과)
  • Received : 2020.06.30
  • Accepted : 2021.01.11
  • Published : 2021.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

Adventitial cystic disease of the vein is a rare vascular disease. Herein, we report a case of adventitial cystic disease of the common femoral vein that was initially misdiagnosed as deep venous thrombosis in a 41-year-old male who presented with leg swelling. We focused on the imaging findings and compared them with those of deep venous thrombosis.

외막낭성질환은 점액을 함유하는 낭종이 혈관벽에 생긴 것으로 정맥에 생기는 경우는 매우 드물다. 우리는 41세 남자 환자에서 심부 정맥 혈전증으로 오인하였다가 외막낭성질환으로 진단하게 된 증례를 특징적인 영상 소견과 함께 심부 정맥 혈전증과 비교하여 보고하고자 한다.

Keywords

References

  1. Bascone C, Iqbal M, Narh-Martey P, Szuchmacher M, Cicchillo M, Krishnasastry KV. Venous adventitial cystic disease: a review of 45 cases treated since 1963. Int J Vasc Med 2016;2016:5287697
  2. Vasudevan A, Halak M, Lee S, Ong S, Nadkarni S. Cystic adventitial disease: a case report and literature review. ANZ J Surg 2005;75:1120-1122
  3. Wright LB, Matchett WJ, Cruz CP, James CA, Culp WC, Eidt JF, et al. Popliteal artery disease: diagnosis and treatment. Radiographics 2004;24:467-479
  4. Min SK, Han A, Min S, Park YJ. Inconsistent use of terminology and different treatment outcomes of venous adventitial cystic disease: a proposal for reporting standards. Vasc Specialist Int 2020;36:57-65
  5. Dix FP, McDonald M, Obomighie J, Chalmers N, Thompson D, Benbow EW, et al. Cystic adventitial disease of the femoral vein presenting as deep vein thrombosis: a case report and review of the literature. J Vasc Surg 2006;44:871-874
  6. Karande GY, Hedgire SS, Sanchez Y, Baliyan V, Mishra V, Ganguli S, et al. Advanced imaging in acute and chronic deep vein thrombosis. Cardiovasc Diagn Ther 2016;6:493-507
  7. Seo JY, Chung DJ, Kim JH. Adventitial cystic disease of the femoral vein: a case report with the CT venography. Korean J Radiol 2009;10:89-92
  8. Stein PD, Gottschalk A, Sostman HD, Chenevert TL, Fowler SE, Goodman LR, et al. Methods of prospective investigation of pulmonary embolism diagnosis III (PIOPED III). Semin Nucl Med 2008;38:462-470
  9. Khaladkar SM, Thakkar DK, Shinde K, Thakkar DK, Shrotri H, Kulkarni VM. Deep vein thrombosis of the lower limbs: a retrospective analysis of doppler ultrasound findings. Med J DY Patil Univ 2014;7:612-619
  10. Stone J, Hangge P, Albadawi H, Wallace A, Shamoun F, Knuttien MG, et al. Deep vein thrombosis: pathogenesis, diagnosis, and medical management. Cardiovasc Diagn Ther 2017;7:S276-S284