Yoo Young Sup, Choi Yoo Duk, Lee Ho Kyun
Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.
Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
Vasc Specialist Int. 2021 Jun 25;37:15. doi: 10.5758/vsi.210034.
Adventitial cystic disease (ACD) of the veins is a rare vascular disease. Most cases of venous ACD are located adjacent to the joint area, such as the common femoral, external iliac, and popliteal veins. To the best of our knowledge, 67 cases of venous ACD have been reported, and ACD of the superficial femoral vein (SFV) has never been reported. Herein, we report the case of a 57-year-old male who presented with swelling and discomfort in the left leg. Computed tomography venography revealed multiple cystic lesions in the left distal SFV. The patient underwent cyst excision, which relieved the compression in the vein, although mild stenosis prevailed in the SFV. After a week, thrombosis developed in the popliteal vein. The thrombosis resolved after three months of anticoagulant therapy, and the patient showed no recurrence of ACD during three years of follow-up.
静脉外膜囊肿性疾病（ACD）是一种罕见的血管疾病。大多数静脉ACD病例位于关节区域附近，如股总静脉、髂外静脉和腘静脉。据我们所知，已报道67例静脉ACD，而股浅静脉（SFV）的ACD从未有过报道。在此，我们报告一例57岁男性患者，其表现为左腿肿胀和不适。计算机断层静脉造影显示左下肢远端SFV有多个囊性病变。患者接受了囊肿切除术，尽管SFV仍存在轻度狭窄，但缓解了静脉受压情况。一周后，腘静脉发生血栓形成。抗凝治疗三个月后血栓溶解，患者在三年随访期间未出现ACD复发。
