Kwun Woo-Hyung, Suh Bo-Yang
Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea.
J Korean Surg Soc. 2011 Jun;80 Suppl 1(Suppl 1):S75-9. doi: 10.4174/jkss.2011.80.Suppl1.S75. Epub 2011 Jun 17.
Adventitial cystic disease (ACD) of venous system is an extremely rare condition. Very few reports of ACD in venous system have been described. In this report we discuss two cases of common femoral vein ACD that presented with a swollen leg by the obstruction of the vein. Ultrasound imaging showed the typical hypoechoic fluid filled cyst with a posterior acoustic window. Computed tomography scan and ascending venogram showed a stenosis to flow in the common femoral vein caused by an extrinsic mass. Trans-adventitial evacuation of cyst with removal of vein wall was performed for both cases. During operation we found the gelatinous material in the cysts arising in the wall of the common femoral vein and compressing the lumen. The patients were released after short hospitalization and have remained symptom free with no recurrence.
静脉系统的外膜囊肿性疾病（ACD）极为罕见。关于静脉系统ACD的报道极少。在本报告中，我们讨论了两例股总静脉ACD病例，患者因静脉阻塞出现腿部肿胀。超声成像显示典型的低回声液性囊肿，后方伴有声窗。计算机断层扫描和上行静脉造影显示股总静脉因外部肿块导致血流狭窄。两例均行囊肿经外膜排空并切除静脉壁。手术中我们发现囊肿内的胶冻状物质起源于股总静脉壁并压迫管腔。患者住院时间短，出院后症状消失，无复发。
