腹股沟肿块的一个未被充分认识的病因:大隐静脉动脉瘤。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Medical Bulletin of Sisli Etfal Hospital Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI:10.14744/SEMB.2024.50329
Fatih Yanar, Orhan Agcaoglu, Oguzhan Sal, Berke Sengun, Ibrahim Fethi Azamat, Dilek Yilmazbayhan, Fatih Ata Genc
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引用次数: 0

摘要

腹股沟肿块有多种原因,从腹股沟疝到软组织肉瘤。一个不太常见的原因是血管起源。与动脉动脉瘤不同,静脉动脉瘤很少出现,治疗经验也很少。一名32岁男性患者因左侧腹股沟肿块扩大,初步诊断为腹股沟疝而转介到我们诊所。多普勒超声显示一直径8厘米的动脉瘤性大隐静脉段位于腹股沟韧带下方。未完全切除扩张节段。大隐静脉动脉瘤的外科修复需要切除扩张节段,并根据静脉瓣膜衰竭进行完整的静脉切除。如果检测到大隐静脉动脉瘤,由于其衰弱性和可能破裂,应首先选择手术入路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Underappreciated Etiology of Groin Mass: Great Saphenous Vein Aneurysm.

Inguinal masses have a large variety of causes, ranging from inguinal hernias to soft tissue sarcomas. One of the less prevalent causes is vascular origin. Venous aneurysms, unlike their arterial counterparts, are seen seldomly and experience in management of these cases is scarce. A 32-year-old male patient was referred to our clinic due to an enlarging left inguinal mass with a preliminary diagnosis of inguinal hernia. Doppler ultrasonography revealed an eight cm in diameter aneurysmatic Great Saphenous Vein segment located just below the inguinal ligament. Dilated segment was excised without complete resection. Removal of the dilated segment and performing complete venous resection depending on venous valvular failure constitutes surgical repair of Great Saphenous Vein aneurysms. Surgical approach should be primarily selected if Great Saphenous Vein aneurysm is detected due to its debilitating nature and possible rupture.

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来源期刊
Medical Bulletin of Sisli Etfal Hospital
Medical Bulletin of Sisli Etfal Hospital MEDICINE, GENERAL & INTERNAL-
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