Extraluminal lipoma with common femoral vein obstruction: a cause of chronic venous insufficiency.
A 49-year-old man, with a misdiagnosis of common femoral vein deep vein thrombosis presented with advanced chronic venous insufficiency. Further imaging revealed a patent common femoral vein with augmentation that was compressed by an extrinsic mass. Exploration identified a lipoma that was extravascular and was resulting in venous outflow obstruction. Excision of the lipoma resulted in clinical improvement and ulcer healing.
Gasparis
Antonios P
AP
Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA. antonios.gasparis@stonybrook.edu
Tsintzilonis
Stylianos
S
Labropoulos
Nicos
N
D002908:Chronic Disease; D003646:Debridement; D019299:Decompression, Surgical; D003951:Diagnostic Errors; D004487:Edema / Q000209:etiology; D005268:Femoral Vein / Q000000981:diagnostic imaging; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014647:Varicose Ulcer / Q000209:etiology; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D020246:Venous Thrombosis / Q000175:diagnosis*