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KMID : 0904020100260010061
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Journal of Korean Society for Vascular Surgery
2010 Volume.26 No. 1 p.61 ~ p.63
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Saphena Varix Mimicking Femoral Hernia
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Choi Sang-Tae
Kim Keon-Kuk
Lee Woon-Gi
Lee Jung-Nam
Kang Jin-Mo
Lee Won-Suk
Baek Jeong-Heum
Seo U-Hyung
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Abstract
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Saphena varix is very rare disease that characterized by isolated distention of the saphenous vein below the sapheno-femoral junction. Saphena varix must be differentiated from other medical problems that can cause a groin mass. A 49-year-old man presented with a palpable mass on the right upper thigh and he’d had the mass for 6 months. There was no history of trauma, and the mass was especially noticeable when he was standing. On the physical examination, a 5 cm-sized soft, nontender, compressible mass was detected at the right upper medial thigh near the femoral foramen. Doppler sonography showed a saccular venous dilatation of the great saphenous vein just below the saphenofemoral junction. On computed tomography, there were superficially dilated veins in the right thigh and calf, a focal saccular aneurysm at the proximal segment of the right greater saphenous vein and no evidence of deep vein thrombosis. Aneurymal excision and stripping of the greater saphenous vein were performed. No complication was observed at the 2 week follow-up.
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KEYWORD
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Saphena varix, Femoral hernia
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