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A Pearl-Like 30-Year-Old Moving Phlebolith in the Left Cephalic Vein
Thomas Kotsis1, Panagitsa Christoforou1
1Vascular Division, 2nd Department of Surgery, "Aretaieion" Hospital, University of Athens School of Medicine, Athens, Greece.
Background:
Phleboliths are a common finding, especially in the pelvic veins. There are generally multiple thrombi associated with vascular malformations, trauma, or iatrogenic or noniatrogenic intravenous foreign bodies.
Methods:
Herein, we report a unique case of a single moving phlebolith in the cephalic vein of a 65-year-old man, not associated with any vascular lesion, trauma, or foreign body.
Results:
Too many cases of phleboliths have been reported in the literature since 1948, referred to vascular disorders, injuries, or foreign bodies. Only this work we are presenting refers to a phlebolith not associated with other vascular, pathological, or traumatic lesion.
Conclusion:
Phleboliths not associated with other vascular lesions are not common and less rare when not associated with injuries or iatrogenic interventions. Clinicians should be aware of the existence of this pathology and include it as the differential diagnosis of various pathological conditions.
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