Cephalic venous aneurysm in the wrist

Cephalic Vein Aneurysm in the Distal Forearm Managed with Sclerotherapy—A Rare Case Report and Literature Review

“…The contiguity of aneurysm with vein on all the imaging modalities is critical in the diagnosis. 1 In our case, we performed duplex USG and found a venous aneurysm communicating with a defect in the wall of CV. There are many treatment options of venous aneurysm which include aneurysmectomy, endovenous ablation and lateral venorrhaphy, aneurysmectomy and end-to-end anastomosis, and aneurysmectomy with interposition graft repair.…”

“…Venous aneurysms can also be left to observation in truly asymptomatic cases. 1 To the best of our knowledge, sclerotherapy treatment of CV aneurysm has never been reported in the literature.…”

“…We did a PubMed literature search of cephalic venous aneurysms unrelated to arteriovenous fistulas, and total number of 14 cases have been reported till date ( Table 1 ). 1 4 6 7 8 9 10 11 12 13 14 15 The most common presentation was slowly growing swelling or pain. There were two patients who presented with symptoms of nerve compression.…”

“…However, the use of other imaging tools such as phlebography, CT, and MRI should be reserved for the diagnosis of thoracic and abdominal venous aneurysms. 1,6 On CT scan, venous aneurysm can show variable attenuation depending on the patency of the aneurysm and internal thrombus age. On MRI scan, it can show variable internal signal intensity depending on the internal thrombus.…”

“…It must have also no association with arteriovenous malformation or pseudoaneurysm. 1 The first venous aneurysm was described by Harris in 1928. 2 Hilscher 3 first suggested the term venous aneurysm, similar to arterial aneurysm.…”