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Presentation and management of venous aneurysms
D L Gillespie1, J L Villavicencio, C Gallagher
1Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307, USA.
Journal of Vascular Surgery
|December 31, 1997
Summary
Venous aneurysms are rare vascular malformations often presenting as painful masses. Surgical management is recommended due to potential complications like deep venous thrombosis and pulmonary embolism.
Area of Science:
- Vascular Surgery
- Radiology
- Vascular Medicine
Background:
- Venous aneurysms are uncommon vascular malformations affecting major veins.
- They can be misdiagnosed as hernias or soft tissue masses.
- Deep venous aneurysms are associated with significant thromboembolic risks.
Purpose of the Study:
- To characterize venous aneurysms.
- To review presentation, diagnosis, and management.
- To compare findings with existing literature.
Main Methods:
- Retrospective analysis of 30 patients over 22 years.
- Review of lesion presentation and management.
- Comparison with medical literature.
Main Results:
- 39 venous aneurysms identified in 30 patients (14 male, 16 female).
- Most common symptom was a painful mass (75%), often in lower extremities (30 cases).
- Thromboembolism occurred in 6 patients; 89% of superficial inguinal aneurysms were misdiagnosed.
Conclusions:
- Venous aneurysms are unusual, affect all ages and sexes.
- Diagnosis relies on radiologic imaging; superficial inguinal aneurysms are frequently misdiagnosed.
- Surgical intervention is often necessary due to potential morbidity.