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Cystic adventitial disease of the femoral vein presenting as deep vein thrombosis: A case report and review of the literature  Francis P. Dix, BSc, MBBS,

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Presentation on theme: "Cystic adventitial disease of the femoral vein presenting as deep vein thrombosis: A case report and review of the literature  Francis P. Dix, BSc, MBBS,"— Presentation transcript:

1 Cystic adventitial disease of the femoral vein presenting as deep vein thrombosis: A case report and review of the literature  Francis P. Dix, BSc, MBBS, FRCS, MD, Michael McDonald, MBBS, Jude Obomighie, MBBS, Nicholas Chalmers, FRCR, David Thompson, FRCR, Emyr W. Benbow, BSc, FRCPath, J. Vincent Smyth, FRCS, ChM  Journal of Vascular Surgery  Volume 44, Issue 4, Pages (October 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Ascending venogram shows obstruction to flow in the common femoral vein caused by an extrinsic mass with typical scalloping of the lumen caused by cystic adventitial disease. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Preoperative computed tomography scan shows enlargement of the right common femoral vein with presumed thrombus in the lumen (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Operative image shows the enlarged, obstructed common femoral vein with a bluish-colored mass visible through the wall of the vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Operative image shows the large cyst arising in the posterior wall of the common femoral vein and compressing the lumen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Operative image shows excision of the cyst and resuture of the back wall of the common femoral vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 A photomicrograph of the excised cyst shows replacement of elastic tissue by fibrous connective tissue (asterisk) consistent with cystic adventitial disease (Elastin Van Gieson stain). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

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