Symptomatic lower limb varices secondary to Castleman's disease

Although lower limb varices are very frequent, their association with Castleman's disease is extremely rare. We report a case of Castleman's disease involving the right inguinal lymph nodes with subsequent development of the symptoms caused by the compression of the great saphenous vein's gulf. The patient underwent surgical extirpation of the right inguinal mass, which successfully eliminated all the symptoms. The great saphenous vein was not stripped in order to leave an outlet for the deep venous blood flow in case of subsequent compression of the right femoral or iliac veins. This case confirms the effectiveness of surgical treatment in the localized form of Castleman's disease.