Primary Aneurysm of the Medial Marginal Vein of the Foot

D Casian,V Culiuc

doi:10.1155/2015/374691

Abstract

The primary superficial venous aneurysms of the foot are very rare. A 34-year-old female patient developed a dorsal foot mass during the second trimester of pregnancy with no history of previous trauma, puncture, or infection. One year later, she was referred to the surgical department for excision of “foot hygroma.” Based on the clinical findings, the venous aneurysm was suspected and duplex ultrasound confirmed the diagnosis of the aneurysm of the medial marginal vein of the foot. Excision of aneurysm with bipolar ligation of marginal vein was performed under local anesthesia. The postoperative evolution was uneventful. The authors hope that the presented case report will increase the awareness of general practitioners, dermatologists, and surgeons regarding the superficial venous aneurysms of lower limbs.

Highlights

During the last decades, the aneurysms of the superficial venous system become diagnosed and described more frequently because of the wide implementation of vascular ultrasound
We present the case of primary aneurysm of the medial marginal vein of the foot developed during the pregnancy
The superficial venous aneurysms are usually benign pathological conditions with asymptomatic course the development of thrombus in the lumen of aneurysm can be associated with local inflammatory reaction and pain

Summary

Introduction

The aneurysms of the superficial venous system become diagnosed and described more frequently because of the wide implementation of vascular ultrasound. The main trunks of the great or small saphenous veins are affected most typically as a consequence of pathologic venous reflux and degenerative changes of the venous wall in patients with varicose veins. Superficial venous aneurysms of the upper extremities (cephalic and basilica veins) and neck (external jugular vein) were reported sporadically [1,2,3]. Several case reports were published in the literature regarding superficial venous aneurysms located on the dorsum of the foot [4–6]. We present the case of primary aneurysm of the medial marginal vein of the foot developed during the pregnancy

Case Presentation

Discussion