[Thrombosed aneurysm of the femoral vein mimicking a strangulated crural hernia].
Venous aneurysms are usually difficult to diagnose, especially when they are located in the inguinal area where they can be misinterpreted as inguinal or femoral hernias. We report the case of a 70-year-old man with a painful thrombosed aneurysm of the femoral vein that was clinically undistinguishable from a strangulated hernia. The ultrasonogram, performed 2 months before the acute pain when the femoral swelling was painless, seemed to confirm the incorrect diagnosis of femoral hernia, and the aneurysm was finally labeled as such during surgical exploration. Massive embolism to the lungs and heart occurred peroperatively and resulted in death.
Service de Chirurgie Viscérale, Centre Hospitalier, Armentières. GUILLEM.PHILIPPE@wanadoo.fr
P
P
Guillem
F
F
Bounoua
M
M
Keith
G
G
Duval
D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006547:Hernia; D006801:Humans; D008297:Male; D010146:Pain; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000150:complications*