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Bilateral popliteal vein aneurysms
D T McDevitt1, J M Lohr, K D Martin
1Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220-2489.
Annals of Vascular Surgery
|May 1, 1993
Summary
This case report details a rare instance of popliteal vein aneurysms causing deep vein thrombosis after hip fracture surgery. Prompt diagnosis and management are crucial for preventing serious complications like pulmonary embolism.
Area of Science:
- Vascular Surgery
- Radiology
- Geriatric Medicine
Background:
- Hip fractures are common in the elderly, often requiring surgical intervention.
- Deep vein thrombosis (DVT) is a known complication following orthopedic surgery.
- Popliteal vein aneurysms are uncommon vascular anomalies that can lead to venous thromboembolism.
Observation:
- An 82-year-old male presented with leg swelling post-hip fracture repair.
- Venous duplex scans revealed isolated popliteal vein dilatation with chronic thrombosis.
- Acute thrombus was identified in multiple lower extremity veins, extending into the superficial femoral vein on follow-up.
Findings:
- The patient was diagnosed with bilateral popliteal vein aneurysms complicated by acute and chronic deep vein thrombosis.
- The aneurysms were associated with significant venous stasis and thrombus formation.
- The case highlights a rare but serious sequela of popliteal vein abnormalities.
Implications:
- Popliteal vein aneurysms should be considered in the differential diagnosis of DVT, especially in patients with unexplained or recurrent thrombosis.
- Early recognition and appropriate management of popliteal vein aneurysms are essential to reduce morbidity and mortality.
- This case underscores the importance of comprehensive vascular assessment in patients with complex orthopedic injuries and suspected venous compromise.