Tinelli Giovanni, Montanari Francesca, Minelli Fabrizio, De Nigris Francesca, Sica Simona, Tshomba Yamume
Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS-Università Cattolica del Sacro Cuore, Rome, Italy.
J Vasc Surg Cases Innov Tech. 2020 May 8;6(3):320-323. doi: 10.1016/j.jvscit.2020.04.008. eCollection 2020 Sep.
Adventitial cystic disease of the venous system is an extremely rare condition. Forty-five cases have been described in the literature during the last 70 years, but they may not be representative of the real incidence of this pathologic process. We report a case of an adventitial cyst compressing the right external iliac vein and presenting with edema of the ipsilateral leg. Ultrasound imaging and computed tomography angiography showed the typical features of cystic disease and venous stenosis. Cyst excision was performed with a double surgical access. No perioperative complications were reported. There was no recurrence at 4-year follow-up.
静脉系统外膜囊肿性疾病是一种极为罕见的病症。在过去70年里，文献中记载了45例病例，但它们可能并不代表这一病理过程的实际发病率。我们报告一例外膜囊肿压迫右髂外静脉并伴有同侧腿部水肿的病例。超声成像和计算机断层血管造影显示了囊肿性疾病和静脉狭窄的典型特征。通过双手术入路进行了囊肿切除术。未报告围手术期并发症。在4年的随访中未出现复发情况。
