Cystic Adventitial Disease of the Common Femoral Vein Successfully Treated with Resection, Synthetic Graft Reconstruction, and Fistula Creation

Rog, Colin J.; French, Bryce; Kobayashi, Emily; Tan, Swee Lian

doi:10.1016/j.avsg.2019.09.029

Cited by 3 publications

(7 citation statements)

References 22 publications

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“…Because only a small number of cases of venous CAD have been reported and there is a lack of consensus regarding the aetiology, the optimal treatment for the condition is unknown. 2 Although some authors reported successful non-invasive management of venous CAD (cyst aspiration with or without sclerosant, and cyst drainage), open surgical management remains the standard treatment for this condition. Surgical techniques have resulted in different rates of symptom control and recurrence in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical techniques have resulted in different rates of symptom control and recurrence in the literature. 2 The most crucial objective of treatment is complete excision of the cyst wall, which prevents the mucoid cyst's mesenchymal cells from continuing to secret enough mucin to result in cyst recurrence. This preferred strategy was used in this case.…”

Section: Discussionmentioning

confidence: 99%

“…Cystic adventitial disease (CAD) is characterised by accumulation of gelatinous fluid containing mucoproteins and mucopolysaccharides within the adventitial layer of a blood vessel. 1 , 2 Over 90% of CAD occurs in the arterial system. 1 , 2 However, the true incidence of venous CAD is probably underestimated because it can be asymptomatic or misdiagnosed as deep vein thrombosis (DVT).…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 Over 90% of CAD occurs in the arterial system. 1 , 2 However, the true incidence of venous CAD is probably underestimated because it can be asymptomatic or misdiagnosed as deep vein thrombosis (DVT). 3 , 4 , 5 Venous CAD most commonly involves the iliofemoral rather than the popliteal segments.…”

Section: Introductionmentioning

confidence: 99%

“…6 Popliteal vein (POPV) cysts comprise only 0.5% of all cystic adventitial disease cases and 7% of venous cases. 1 , 2 , 7 …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Cystic Adventitial Disease of the Popliteal Vein, a Rare Cause of Lower Limb Deep Vein Thrombosis

Correia

Gião

Bento

et al. 2022

EJVES Vascular Forum

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…6 Popliteal vein (POPV) cysts comprise only 0.5% of all cystic adventitial disease cases and 7% of venous cases. 1 , 2 , 7 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cystic Adventitial Disease of the Popliteal Vein, a Rare Cause of Lower Limb Deep Vein Thrombosis

Correia

Gião

Bento

et al. 2022

EJVES Vascular Forum

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Adventitial cystic disease of the common femoral vein: an unusual cause of lower extremity swelling and review of the literature

Biggs

Kalra

Skinner

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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Cystic Adventitial Disease of the Common Femoral Vein Presenting with Lower Limb Swelling: A Case Report

Liu

Wang

2023

Vasc Endovascular Surg

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Cystic adventitial disease (CAD) is a rare vascular disorder predominantly seen in adults without cardiovascular risk factors. We report a case of CAD involving the common femoral vein in a 38-year-old female presented with right lower extremity swelling that was initially misdiagnosed as deep vein thrombosis (DVT). A computed tomography revealed a cystic structure that compressed the right common femoral vein with resultant severe stenosis of the vascular lumen. Complete evacuation of the cyst with excision of the cyst wall was performed, and the patient remained symptom-free at 3 year follow-up. This case highlighted that the rare venous CAD should be incorporated in the differential diagnosis of unilateral lower extremity swelling suspicious for a DVT. Complete evacuation and surgical excision of the cyst often conferred favorable clinical outcome.

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Cystic Adventitial Disease of the Common Femoral Vein Successfully Treated with Resection, Synthetic Graft Reconstruction, and Fistula Creation

Cited by 3 publications

References 22 publications

Cystic Adventitial Disease of the Popliteal Vein, a Rare Cause of Lower Limb Deep Vein Thrombosis

Cystic Adventitial Disease of the Popliteal Vein, a Rare Cause of Lower Limb Deep Vein Thrombosis

Adventitial cystic disease of the common femoral vein: an unusual cause of lower extremity swelling and review of the literature

Cystic Adventitial Disease of the Common Femoral Vein Presenting with Lower Limb Swelling: A Case Report

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