Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis

Adventitial cystic disease of the vein is a rare vascular anomaly with 32 reported cases. A 5-year-old boy initially presented with painless leg swelling. He was misdiagnosed with deep vein thrombosis and treated with 3 months of warfarin. When swelling failed to improve, a magnetic resonance venogr...

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Bibliographic Details
Published in:Journal of vascular surgery 2012-02, Vol.55 (2), p.522-524
Main Authors: Jones, Douglas W., MD, Rezayat, Combiz, MD, Winchester, Patricia, MD, Karwowski, John K., MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood. Blood coagulation. Reticuloendothelial system
Child, Preschool
Connective Tissue - pathology
Cysts - complications
Cysts - diagnosis
Cysts - surgery
Diagnostic Errors
Edema - etiology
Femoral Vein - pathology
Humans
Magnetic Resonance Angiography
Male
Medical sciences
Pharmacology. Drug treatments
Predictive Value of Tests
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Vascular Diseases - complications
Vascular Diseases - diagnosis
Vascular Diseases - surgery
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Venous Thrombosis - diagnosis
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Summary:Adventitial cystic disease of the vein is a rare vascular anomaly with 32 reported cases. A 5-year-old boy initially presented with painless leg swelling. He was misdiagnosed with deep vein thrombosis and treated with 3 months of warfarin. When swelling failed to improve, a magnetic resonance venogram showed a mural cystic lesion of the left common femoral vein. In the operating room, the cyst was excised, relieving the obstructive effect and restoring flow. The swelling resolved within days. This is the first reported case of adventitial cystic disease of the vein occurring in a pediatric patient.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.06.117