An isolated aneurysm of the thigh anterolateral branch of the greater saphenous vein in a young patient presenting as an inguinal hernia.
We report the first case of isolated aneurysm of the anterolateral branch of the greater saphenous vein in a 24-year-old man. The aneurysm was initially confused with an inguinal hernia. The patient referred with a respiratory distress due to a pulmonary embolism. The Doppler ultrasounds permitted to clarify the diagnosis. The aneurysm was removed en block under local anaesthesia. Surgeons should be aware to consider a venous aneurysm in the differential diagnosis of an inguinal mass. Indeed, due to its potential risk or embolism, the surgical treatment is mandatory.
Marcucci
Giustino
G
Department of Surgery, Vascular and Endovascular Surgery Unit, San Paolo Hospital, Civitavecchia, Rome, Italy. gmarcromaalice.it
Accrocca
Federico
F
Antignani
Pier Luigi
PL
Siani
Andrea
A
D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006552:Hernia, Inguinal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013848:Thigh / Q000098:blood supply*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures; D055815:Young Adult