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A Journal on Phlebology
Acta Phlebologica 2010 April;11(1):27-9
An isolated aneurysm of the thigh anterolateral branch of the saphenous vein in a young patient
Siani A., Accrocca F., Gabrielli R., Baldassarre E., Siani L. M., Antignani P. L., Marcucci G.
Vascular and Endovascular Surgery Unit, San Paolo Hospital, Civitavecchia, Rome, Italy, Department of Angiology, San Giovanni Hospital, Rome, Italy
We report the first case of an isolated aneurysm of the thigh anterolateral branch of the saphenous vein in a 24-year-old man. The aneurysm was initially confused with an inguinal hernia. The patient referred with a respiratory distress due to a pulmonary embolism. The Doppler ultrasound scanning permitted to clarify the diagnosis. The aneurysm was removed en block under local anesthesia. Surgeons should be aware to consider a venous aneurysm in the differential diagnosis of an inguinal mass. Indeed, due to its potential risk or embolism, the surgical treatment is mandatory.