Vein Aneurysm Presenting Research Articles

An Intriguing Case of Popliteal Vein Aneurysm Presenting as Foot Drop

Neurological deficits with peripheral venous aneurysm are extremely rare. We report this rare event in an elderly female presenting with difficulty in walk for 2 months, a swelling in the right popliteal fossa, and inability to dorsiflex the right foot. She was successfully managed with surgical intervention.

Jugular Vein Aneurysm, When We Have to Do Surgery?

Introduction: The most common lesions of jugular vein dilatation are aneurysms and ectasia. A jugular vein aneurysm is less common compare to an arterial aneurysm in adults. Because of the rare incidence, treatment guidelines primarily associated with the timing of surgery are not clearly established. Proper treatment can reduce patient complaints without excessive intervention.
 Case report: A 54 years old woman complained of swelling in the right neck that started three years ago and cephalgia for two years. From CT angiography, we obtained a jugular vein dilatation of 2.3 cm. During periodic evaluation from ultrasonography doppler, there is no increase in the size of the jugular vein.
 Conclusion: Jugular vein aneurysm presenting in adults is an infrequent phenomenon. It is a benign condition, and conservative observation is advised. It should be operated only if symptomatic or progressive enlarging. A periodic examination must be done to evaluate the size of the jugular vein before a surgical decision

Jugular Vein Aneurysm, When We Have to Do Surgery?

Introduction: The most common lesions of jugular vein dilatation are aneurysms and ectasia. A jugular vein aneurysm is less common compare to an arterial aneurysm in adults. Because of the rare incidence, treatment guidelines primarily associated with the timing of surgery are not clearly established. Proper treatment can reduce patient complaints without excessive intervention.
 Case report: A 54 years old woman complained of swelling in the right neck that started three years ago and cephalgia for two years. From CT angiography, we obtained a jugular vein dilatation of 2.3 cm. During periodic evaluation from ultrasonography doppler, there is no increase in the size of the jugular vein.
 Conclusion: Jugular vein aneurysm presenting in adults is an infrequent phenomenon. It is a benign condition, and conservative observation is advised. It should be operated only if symptomatic or progressive enlarging. A periodic examination must be done to evaluate the size of the jugular vein before a surgical decision

1. Azygous vein aneurysm presenting as a mediastinal mass: A case report

Background: Azygous vein aneurysm is a rare occurrence and presenting as a mediastinal mass is even rarer. Its complications are dreadful as it may lead to rupture and demise if not properly diagnosed and attended. Aims: This report is prepared to present an infrequent ailment, clinical presentation, histopathologic findings and course of the disease. Results: This patient, a 58-year-old female, presented with dyspnoea and chest pain. She was brought to a hospital and showed tachypnoea. Upon admission, chest radiograph was performed displaying a lobulated soft tissue mass in the right suprahilar region which at first was considered as soft tissue mass versus an enlarged lymph node. The patient was transferred to the Philippine Heart Center for definitive management. Computed tomography (CT) of the chest showed a large saccular aneurysm (7.8×7.4×7.7 cm) emanating from the right lateral wall of the superior vena cava (SVC) with thrombus formation within its lumen, extending to the distal SVC. The patient was scheduled for aneurysm repair. Intraoperatively, the SVC was identified and discovered that the aneurysmally dilated vein was the azygous vein instead of the SVC. It was resected and the operation was successful. The specimen consisted of several, tan-gray, rubbery to friable tissues aggregately measuring 6.5×5.5×2.0 cm. Microsections showed vessel wall with fibrosis, myxoid areas within the medial layer and congested vascular channels in the adventitia. Haemorrhage and thrombus were seen. Trichrome stain revealed areas of fibrosis and marked increase in collagen fibres. Elastic stain revealed elastic fibre loss and fragmentation. The final histologic diagnosis was aneurysmal vessel wall with myxoid degeneration of media. Conclusion: Azygous vein aneurysm is rare, probably the first ever reported entity in the Philippines. Proper approach in early detection and keen clinical judgement are necessary to ensure good patient outcomes.

External Jugular Vein Aneurysm Presenting as an Enlarging and Painful Cervical Mass

Venous aneurysms are a rare venous pathology. Primary aneurysms of neck veins are uncommon, particularly aneurysms of the external jugular vein being extremely rare, with only a few cases described in literature. We present a case of a 42-year-old woman with no prior neck trauma who presented with an enlarging and painful mass in the left supraclavicular fossa. A computed tomography angiography demonstrated a 3 cm saccular external jugular vein aneurysm. We surgically resected the aneurysm and were able to preserve the external jugular vein. Resection was necessary given its symptomatic nature, aesthetic discomfort and potential thrombotic complications. Fig. 2External jugular vein saccular aneurysm. View Large Image Figure Viewer Download Hi-res image

A novel surgical approach to symptomatic left renal vein aneurysm

Visceral venous aneurysms are uncommon and renal vein aneurysms are among the rarest in this subset. Renal vein aneurysms are frequently asymptomatic, but patients may present with flank pain or hematuria. Complications of untreated visceral venous aneurysms include thrombus formation and, very rarely, rupture. Treatment of renal vein aneurysms ranges from watchful waiting to surgical repair. We describe a patient with renal vein aneurysm presenting with recurrent pulmonary embolus with no other identifiable source. Furthermore, we propose a novel surgical treatment with complete resection of the aneurysm and reconstruction of venous return by transposing the inferior mesenteric vein to the remaining left renal vein.

Giant thrombosed small saphenous vein aneurysm presenting as a popliteal mass in an elder patient

Giant thrombosed small saphenous vein aneurysm presenting as a popliteal mass in an elder patient

External Jugular Vein Aneurysm with Thrombus Presenting as Neck Mass: A Case Report (Rare Case)

External jugular vein aneurysm with thrombosis presenting as neck swelling is a rare clinical entity and rarely encountered in routine clinical practice in otorhinolaryngology. We present a case of a 52-year-old female with external jugular vein aneurysm presenting as a neck mass. Ultrasound of the neck and CT showed saccular dilation of the external jugular vein with thrombosis within the aneurysm. Saccular aneurysm of the external jugular vein is very uncommon and can lead to thrombotic complications with serious consequence.

Popliteal vein aneurysm presenting as recurrent pulmonary embolism

Although rare, popliteal vein aneurysms can lead to pulmonary emboli, which can be fatal. We present a case of a popliteal vein aneurysm in a 39-year-old female who presented with her third episode of pulmonary embolism despite being on anticoagulants. Computed Tomography Venogram demonstrated a large Popliteal Vein Aneurysm measuring 71×36×77 mm which was surgically repaired. According to the current literature, anticoagulation is insufficient therefore early surgical intervention is recommended as it is safe and effective.

External iliac vein aneurysm as a cause of paradoxical embolism

Iliac vein aneurysms are rare, even among venous aneurysms. We report the first case of an external iliac vein aneurysm presenting with paradoxical embolism to bilateral lower extremities. Workup after embolectomy demonstrated a patent foramen ovale along with the aneurysm and an inferior vena cava obstruction, which was treated with balloon angioplasty and ultimately stenting. The patient then underwent interval lateral aneurysmectomy. At 4-year follow-up, she is free of recurrence.

Internal Jugular Vein Aneurysm Presenting after Emesis Episode

75% percent of all jugular vein aneurysms cases are diagnosed in children. The authors present an unusual case of a voluminous internal jugular vein aneurysm in a 40 year-old woman. The patient developed a progressive enlarging cervical bulging after an intense emesis episode five years before. The aneurysm was managed by cervicotomy and jugular vein ligature and the patient had an uneventful postoperative recovery. The authors provide a brief review of diagnosis aspects and treatment options for this disease.

Posterior Tibial Vein Aneurysm Presenting as Tarsal Tunnel Syndrome: Case Report and Review of the Literature

Posterior Tibial Vein Aneurysm Presenting as Tarsal Tunnel Syndrome: Case Report and Review of the Literature

Large aneurysm of innominate vein: extremely rare cause of mediastinal mass

Aneurysms of the innominate vein are extremely rare. Fifteen such cases have been reported in literature. They may be asymptomatic or may present as a mediastinal mass with compression of adjacent structures or may present with vascular complications like thromboembolism or rupture. We present a case of large innominate vein aneurysm presenting as a mediastinal mass that was surgically excised through a left thoracotomy without use of cardiopulmonary bypass.

Great saphenous vein aneurysm presenting as an inguinal hernia

A primary aneurysm in the saphenous vein is very rare. This case study is based on a 55-year-old male patient who applied for general surgery with a complaint of swelling in his left inguinal area, after examinations led to a provisional diagnosis of inguinal hernia. It was decided that surgery was the best option due to the risk of thromboembolism, and pain caused by the condition itself. Confusion with inguinal hernia can affect prognosis. It increases the risk of thromboembolism as well as preventing the chance of early response.

Portal Vein Aneurysm Presenting with Obstructive Jaundice

To the best of our knowledge, a portal vein aneurysm presenting with obstructive jaundice has not been reported in the literature. The preferred treatment for these aneurysms is surgical and a shunting procedure should be considered in cases with portal hypertension to preserve portal vein flow when portal hypertension is present or is secondary to the aneurysm itself. In our case, due to patient's advanced age and co-morbidities, an endoscopic biliary stent was placed which led to successful resolution of symptoms of obstructive jaundice.

External Jugular Vein Aneurysm Presenting as a Cervical Mass

Venous aneurysms are rare causes of neck mass. Among neck veins, aneurysms of the external jugular vein are extremely uncommon. We present a case of a woman with a history of prior internal jugular vein catheterization who presented at a rural primary health care unit with a nontender progressively enlarging swelling in the right supraclavicular region. B-mode and Doppler ultrasound examination revealed a saccular dilatation of the external jugular vein, suggesting a posttraumatic venous aneurysm. Saccular aneurysms of the external jugular vein are uncommon and only rarely lead to serious complications. Access to ultrasound examination can allow early detection of this entity.

Isolated left brachiocephalic vein aneurysm presenting as a symptomatic mediastinal mass

Thoracic venous aneurysms arising from the mediastinal systemic veins are very rare conditions. We report a case of a 42-year-old female who presented with dull aching pain in the left infraclavicular region, dyspnea and palpitation since 4-5 month. Chest roentgenogram revealed superior mediastinal widening secondary to a mass. Contrast enhanced CT scan revealed a homogenously enhancing superior mediastinal mass. Selective left brachiocephalic vein venography confirmed the diagnosis of an isolated large left brachiocephalic vein saccular aneurysm. The patient is being followed up without surgical treatment. Although rare a diagnosis of innominate vein aneurysm should be considered when a uniformly attenuating mediastinal mass is seen on CT so that unnecessary biopsy and surgery can be avoided.