Division of Vascular Surgery, New York Presbyterian Hospital, Weill Cornell Medical Center, New York, NY 10021, USA.
J Vasc Surg. 2012 Feb;55(2):522-4. doi: 10.1016/j.jvs.2011.06.117. Epub 2011 Sep 13.
Adventitial cystic disease of the vein is a rare vascular anomaly with 32 reported cases. A 5-year-old boy initially presented with painless leg swelling. He was misdiagnosed with deep vein thrombosis and treated with 3 months of warfarin. When swelling failed to improve, a magnetic resonance venogram showed a mural cystic lesion of the left common femoral vein. In the operating room, the cyst was excised, relieving the obstructive effect and restoring flow. The swelling resolved within days. This is the first reported case of adventitial cystic disease of the vein occurring in a pediatric patient.
静脉壁囊性病是一种罕见的血管异常，已有 32 例报道。一名 5 岁男孩最初表现为无痛性腿部肿胀。他被误诊为深静脉血栓形成，并接受了 3 个月的华法林治疗。当肿胀未改善时，磁共振静脉造影显示左股总静脉壁囊性病变。在手术室中，切除了囊肿，解除了阻塞效应并恢复了血流。肿胀在数天内消退。这是首例发生在儿科患者的静脉壁囊性病病例报告。
