An isolated aneurysm of the thigh anterolateral branch of the greater saphenous vein in a young patient presenting as an inguinal hernia

Abstract

We report the first case of isolated aneurysm of the anterolateral branch of the greater 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 ultrasounds permitted to clarify the diagnosis. The aneurysm was removed en block under local anaesthesia. 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.

Aneurysms of the superficial venous system: classification and treatment

“…Embolic sources have included the GSV, AAGSV, SSV and other superficial veins of the neck and upper extremity. [5][6][7][8][9] The purpose of this study is to examine our experience with superficial venous aneurysms secondary to venous hypertension in regard to presenting symptoms, treatment, potential complications, and histological findings.…”

A challenging hernia: primary venous aneurysm of the proximal saphenous vein

“…Primary venous aneurysms of the proximal saphenous vein are uncommon [1] and were Wrst described by May and Nissel [7]. There are cases in literature in all ages with equal distribution between sexes [8]. The aneurysms are usually congential or develop from defective venous tissue [2].…”

“…The surgical approach is deWned by the location of the aneurysm. Surgical options are ligation, resection with end to end anastomosis, resection with vein graft and aneurysmorrhaphy or tangential excision with lateral venorraphy [8].…”

'The intraabdominal bleeding with an inguinal defect that mimicking a femoral vein aneurysm'. A case report

“…The only detected pathology was ovarian cysts with intra-abdominal hemorrhogic fluid in pelvic MRI. Marcucci G recommended doppler USG for venous aneurysms in inguinal region and lower extremities [8]. The bulging lesion that had been diagnosed as femoral vein aneurysm was a peritoneal sac (inguinal defect) filled with hemorrhogical fluid.…”