Venous cystic adventitial disease of the common femoral vein

Erinn Kim; Kathleen M Lamb; Anu K Whisenhunt; Micheal Ayad; John Farber; Paul DiMuzio

doi:10.1016/j.jvsv.2013.07.002

Venous cystic adventitial disease of the common femoral vein

J Vasc Surg Venous Lymphat Disord. 2014 Apr;2(2):194-6. doi: 10.1016/j.jvsv.2013.07.002. Epub 2013 Oct 2.

Authors

Erinn Kim¹, Kathleen M Lamb¹, Anu K Whisenhunt¹, Micheal Ayad¹, John Farber¹, Paul DiMuzio²

Affiliations

¹ Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pa.
² Division of Vascular and Endovascular Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pa. Electronic address: paul.dimuzio@jefferson.edu.

PMID: 26993187
DOI: 10.1016/j.jvsv.2013.07.002

Abstract

Venous adventitial cystic disease is a rare condition with few reports previously described. We report the case of a 39-year-old female who presented with left lower extremity edema, acutely exacerbated by exercise. Imaging revealed a hypoechoic mass posterior to her left common femoral vein. Open surgical excision and evacuation was performed with resolution of symptoms within 24 hours. A review of the literature is discussed, along with presentation, diagnosis, treatment, and pathology of this intriguing condition.