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KMID : 1130920240280010027
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Journal of Korean Foot and Ankle Society
2024 Volume.28 No. 1 p.27 ~ p.30
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Multiple Aneurysms with Thrombosis on the Small Saphenous Vein
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Kang Chan
Song Jae-Hwang
Won You-Gun
Eric W. Tan
Lee Gi-Soo
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Abstract
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Several types of soft tissue masses occur in the lower extremities. A mass associated with blood vessels is often difficult to diagnose. A 15-year-old male patient visited the author’s hospital with discomfort and edema in his right calf that had persisted for six months. A physical examination showed no palpable mass other than mild edema. Three masses were found during the ultrasound scan along the small saphenous vein. The masses had a cyst-like appearance and were filled with thrombus. In duplex ultrasound, vascular reflux was represented inside the masses. During surgery, it was suspected that vascular deformation occurred in the small saphenous vein, and simple ligation and resection treatments were performed. The patient was finally diagnosed with venous aneurysms accompanied by thrombosis based on the histology tests. The symptoms disappeared after surgery, and there were no recurrences or unusual findings at the follow-up one year later. Venous aneurysms occurring in the superficial veins of the lower extremities are rarely reported, but treat- ment and diagnosis are important. This paper reports a case of an aneurysm on the small saphenous vein.
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KEYWORD
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Lower extremity, Saphenous vein, Cyst, Thrombosis, Ultrasonography
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