Scott Mark F, Gavin Timothy, Levin Steven
Hennepin County Medical Center, Minneapolis, MN.
Division of Vascular Surgery, University of Minnesota, Minneapolis, MN.
Ann Vasc Surg. 2014 Feb;28(2):489.e15-8. doi: 10.1016/j.avsg.2013.04.019. Epub 2013 Sep 26.
Venous cystic adventitial disease is an exceedingly rare vascular disorder, with 12 cases reported in the past decade. A 60-year-old woman presented with a painful, palpable groin mass without leg swelling. She was initially thought to have a nonreducible inguinal hernia. A computed tomography scan was obtained that revealed a cystic mass involving the right common femoral vein. Previous imaging revealed that the mass had enlarged over time. In the operating room, the cyst wall was excised without compromising vein integrity. The patient had an uneventful recovery and her pain resolved. We review the presentation, diagnosis, and treatment of this condition. We believe that the rapid evolution of this lesion suggests that an unknown inciting factor triggers its onset and growth.
静脉囊性外膜炎是一种极为罕见的血管疾病，在过去十年中仅有12例报告。一名60岁女性因腹股沟出现疼痛且可触及的肿块就诊，无腿部肿胀。她最初被认为患有不可复性腹股沟疝。计算机断层扫描显示右侧股总静脉有一个囊性肿块。先前的影像学检查显示该肿块随时间逐渐增大。在手术室中，完整切除了囊肿壁，未影响静脉完整性。患者恢复顺利，疼痛缓解。我们回顾了这种疾病的临床表现、诊断和治疗。我们认为这种病变的快速发展表明存在未知的诱发因素引发其发病和生长。
