Liu Peng, Yan Bin, Zhang Yanhui, Yan Jingwei, Ma Chong, Wang Guodong, Jian Tao, Sun Ziqiang
Department of Vascular Surgery, Affiliated Hospital of Jining Medical University, Jining, Shandong 272029, P.R. China.
Intensive Care Unit of Vascular Surgery, Xuanwu Hospital of Capital Medical University, Beijing 100053, P.R. China.
Exp Ther Med. 2019 Nov;18(5):3563-3567. doi: 10.3892/etm.2019.7992. Epub 2019 Sep 9.
Cystic adventitial disease (CAD) is a condition that mainly affects the arterial system but rarely involves the venous system. The present study reported on two cases of CAD of femoral veins. The clinical manifestations in the two patients included pain and swelling of the lower limbs, but they had no risk factors for venous thrombosis. Color ultrasonography indicated cystic space-occupying lesions around the femoral veins, and enhanced computed tomography (CT) revealed vascular compression and space-occupying properties of the femoral veins. The two patients underwent open surgery, the postoperative treatment was uneventful, and swelling and tenderness were completely resolved. The pathological examination confirmed CAD of femoral vein in the two patients. The enhanced CT venography scan indicated patency of the femoral vein in the two patients following the operation. The circumferences of the two patients' lower limbs had returned to normal at the 2-month follow-up. A review of the literature was performed, and the presentation, diagnosis, treatment and pathology of this rare condition were discussed.
囊性外膜疾病（CAD）是一种主要影响动脉系统但很少累及静脉系统的病症。本研究报告了两例股静脉CAD病例。两名患者的临床表现包括下肢疼痛和肿胀，但他们没有静脉血栓形成的危险因素。彩色超声检查显示股静脉周围有囊性占位性病变，增强计算机断层扫描（CT）显示股静脉有血管受压和占位性特征。两名患者接受了开放手术，术后治疗顺利，肿胀和压痛完全消退。病理检查证实两名患者为股静脉CAD。增强CT静脉造影扫描显示两名患者术后股静脉通畅。在2个月的随访中，两名患者下肢的周长已恢复正常。进行了文献综述，并讨论了这种罕见病症的表现、诊断、治疗和病理。
