Bascone Corey, Iqbal Mazen, Narh-Martey Patrick, Szuchmacher Mauricio, Cicchillo Michael, Krishnasastry Kambhampaty V
American University of Antigua, Saint George, Antigua and Barbuda.
Western Reserve Health Education, Youngstown, OH, USA.
Int J Vasc Med. 2016;2016:5287697. doi: 10.1155/2016/5287697. Epub 2016 Nov 3.
. To review and identify the most accurate ways of diagnosing and treating adventitial cystic disease (ACD) of the venous system. . Cases of ACD were collected through three popular medical databases, including PubMed, Cochrane, OVID, and MEDLINE. After reviewing the literature, the sites of occurrence of 323 cases of adventitial cystic disease were documented, and all cases of arterial ACD were excluded. The clinical features, treatment, and subsequent course of 45 cases of venous ACD are included in this paper. . After reviewing all 45 cases of venous ACD , we have confirmed that the most common vessel affected is the common femoral vein, which reproduces the most common symptom of venous ACD: asymmetric lower extremity swelling worsening over time. . Venous ACD most commonly affects the common femoral vein. When unilateral leg swelling occurs with or without a noticeable mass, ACD should be considered. It is best confirmed with CT venography and the treatment of choice is transluminal cyst evacuation and excision.
回顾并确定诊断和治疗静脉系统外膜囊肿性疾病（ACD）的最准确方法。
通过三个常用医学数据库（包括PubMed、Cochrane、OVID和MEDLINE）收集ACD病例。在回顾文献后，记录了323例外膜囊肿性疾病的发病部位，并排除了所有动脉性ACD病例。本文纳入了45例静脉性ACD的临床特征、治疗及后续病程。
在回顾所有45例静脉性ACD病例后，我们证实最常受累的血管是股总静脉，这再现了静脉性ACD最常见的症状：不对称性下肢肿胀且随时间加重。
静脉性ACD最常累及股总静脉。当出现单侧腿部肿胀且伴有或不伴有明显肿块时，应考虑ACD。最好通过CT静脉造影确诊，首选治疗方法是经腔囊肿排空和切除。
