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Updated: Sep 3, 2025
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Gastrocnemius venous aneurysm-a diagnostic dilemma
Akiko Tanaka1, Taha Syed Zaidi1, S Keisin Wang1
1Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, TX.
Summary
A man with calf pain was diagnosed with a gastrocnemius vein aneurysm, not venous reflux. Surgical excision resolved his symptoms, offering a new treatment option for this rare vascular condition.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Orthopedics
Background:
- A 63-year-old male presented with persistent right lateral calf pain, previously misdiagnosed as venous reflux.
- The patient had undergone multiple prior orthopedic procedures on both lower extremities.
Observation:
- Repeat imaging revealed an aneurysmal gastrocnemius vein, distinct from venous reflux or thrombosis.
- The calf bulge was prominent in the supine position and diminished when upright.
- Bedside ultrasound confirmed the gastrocnemius vein aneurysm, compressed by muscles in the standing position.
Findings:
- The patient's symptoms persisted despite six months of compression stocking therapy.
- Surgical excision of the aneurysmal gastrocnemius vein was performed.
- The patient remained symptom-free at seven months post-surgery.
Implications:
- This case highlights the importance of accurate diagnosis for rare vascular conditions causing localized pain.
- Surgical intervention can be an effective treatment for symptomatic gastrocnemius vein aneurysms.
- Further research into the etiology and management of gastrocnemius vein aneurysms is warranted.
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