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A case of pseudothrombophlebitis due to inguinal synovial cyst
1Ishikawa Prefectural Central Hospital, Department of Thoracic and Cardiovascular Surgery, Kanazawa, Japan.
The American Surgeon
|September 1, 1990
Insights
A large inguinal synovial cyst caused pseudothrombophlebitis in the right leg by compressing the femoral vein. Surgical removal of the cyst is recommended to resolve this condition.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Orthopedic Surgery
Background:
- Inguinal synovial cysts are rare and can present with unusual symptoms.
- Femoral vein compression by extraluminal masses can mimic deep vein thrombosis.
Observation:
- A case is presented of pseudothrombophlebitis affecting the entire right leg.
- The cause was identified as an inguinal synovial cyst compressing the femoral vein.
Findings:
- Ultrasonography proved useful in diagnosing the condition.
- Phlebography was necessary to confirm the extent of venous compression.
Implications:
- Accurate differential diagnosis is crucial to prevent hemorrhagic complications.
- Radical excision of the synovial cyst is the recommended treatment for this condition.
Abstract:
A case of pseudothrombophlebitis of the whole right leg by an inguinal synovial cyst that had a compressed femoral vein is presented. Differential diagnosis is important in order to avoid hemorrhagic complications. The usefulness of ultrasonography and necessity of phlebography are emphasized. Radical excision of the cyst is recommended.