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Cephalic venous aneurysm in the wrist.
Joanna K Weeks1, Robert J Strauch2, Renu K Virk3
1Department of Radiology, New York-Presbyterian Hospital at Columbia University, 622 West 168th St., MC-28, New York, NY 10032, USA.
Clinical Imaging
|September 16, 2018
Summary
Venous aneurysms are rare vascular lesions. This case highlights a cephalic venous aneurysm in the wrist, diagnosed via MRI and surgery, emphasizing the need for radiologists to consider these in differential diagnoses.
Area of Science:
- Vascular Surgery
- Radiology
- Diagnostic Imaging
Background:
- Venous aneurysms are uncommon benign vascular lesions.
- Typically found in the neck, lower extremity, and abdomen.
- Rarely occur in the upper extremity, leading to diagnostic challenges.
Observation:
- A case of a healthy 54-year-old male is presented.
- A slowly growing cephalic venous aneurysm in the wrist over 20 years.
- The lesion was initially evaluated as a soft tissue mass.
Findings:
- Diagnosis confirmed using Magnetic Resonance Imaging (MRI).
- Excisional surgery provided definitive confirmation.
- The aneurysm demonstrated slow, long-term growth.
Implications:
- Radiologists should include venous aneurysms in the differential diagnosis for soft tissue masses.
- Early recognition can prevent diagnostic delays.
- This case expands the known locations for venous aneurysms.
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