Adventitial Cystic Disease of the Common Femoral Vein—A Rare Mimic of Deep Venous Thrombosis: A Case Report
Authors: Sean O'Loghlen, Grayson J. Hall, Nadil Zeiadin, Laura Milne, Benedetto Mussari
Journal: Annals of Internal Medicine (2016)

Letters5 July 2016Adventitial Cystic Disease of the Common Femoral Vein—A Rare Mimic of Deep Venous Thrombosis: A Case ReportSean O'Loghlen, MD, BSc(Hons), Grayson J. Hall, MD, Nadil Zeiadin, MD, Laura Milne, MD, and Benedetto Mussari, MDSean O'Loghlen, MD, BSc(Hons)From Queen's University, Kingston, Ontario, Canada.Search for more papers by this author, Grayson J. Hall, MDFrom Queen's University, Kingston, Ontario, Canada.Search for more papers by this author, Nadil Zeiadin, MDFrom Queen's University, Kingston, Ontario, Canada.Search for more papers by this author, Laura Milne, MDFrom Queen's University, Kingston, Ontario, Canada.Search for more papers by this author, and Benedetto Mussari, MDFrom Queen's University, Kingston, Ontario, Canada.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-0532 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Clinicians usually can identify the cause of unilateral lower extremity swelling, but even experienced clinicians can be misled by rare causes of this condition.Objective: To describe unilateral lower extremity swelling that can be mistaken for deep venous thrombosis.Case Report: A 31-year-old woman presented to the emergency department with a 4-day history of painless, progressive right lower extremity swelling and paresthesia. Her medical history was significant for a first-trimester miscarriage and for pulmonary embolism during another pregnancy. She was hemodynamically stable. Her examination was remarkable for tense edema of the entire right leg, accompanied by erythema, calor, and ...References1. Paravastu SC, Regi JM, Turner DR, Gaines PA. A contemporary review of cystic adventitial disease. Vasc Endovascular Surg. 2012;46:5-14. [PMID: 22169114] doi:10.1177/1538574411419377 CrossrefMedlineGoogle Scholar2. Jones DW, Rezayat C, Winchester P, Karwowski JK. Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis. J Vasc Surg. 2012;55:522-4. [PMID: 21917399] doi:10.1016/j.jvs.2011.06.117 CrossrefMedlineGoogle Scholar3. Maldonado-Fernández N, Lopez-Espada C, Moreno-Escobar J, Martinez-Gámez J, Rodriguez-Morata A, García-Róspide V. Recurrent adventitial cyst in the left external iliac vein. EJVES Extra. 2004;8:10-4. doi:10.1016/j.ejvsextra.2004.05.009 CrossrefGoogle Scholar4. Jayaraj A, Shalhub S, Deubner H, Starnes BW. Cystic adventitial disease of the common femoral vein. Ann Vasc Surg. 2011;25:558. [PMID: 21549936] doi:10.1016/j.avsg.2010.10.016 CrossrefMedlineGoogle Scholar5. Seo JY, Chung DJ, Kim JH. Adventitial cystic disease of the femoral vein: a case report with the CT venography. Korean J Radiol. 2009;10:89-92. [PMID: 19182509] doi:10.3348/kjr.2009.10.1.89 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Queen's University, Kingston, Ontario, Canada.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0532.This article was published at www.annals.org on 8 March 2016. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAdventitial cystic disease of the common femoral vein: an unusual cause of lower extremity swelling and review of the literatureCystic adventitial disease of the common femoral vein: A case reportCystic Adventitial Disease of the Common Femoral Vein Successfully Treated with Resection, Synthetic Graft Reconstruction, and Fistula CreationVenous Adventitial Cystic Disease: A Review of 45 Cases Treated Since 1963 5 July 2016Volume 165, Issue 1Page: 75-76KeywordsComputed axial tomographyDeep vein thrombosisEdemaFemoral arteriesInflammationPulmonary embolismSurgerySurgical resectionUltrasound imagingVeins ePublished: 8 March 2016 Issue Published: 5 July 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...