Great saphenous vein aneurysm mimicking inguinal hernia: a case report
Abstract Background Diagnosis of venous aneurysm may be difficult and can be misjudged as mass-like lesions, including hernias. Here we present the case of a patient with a great saphenous vein aneurysm misdiagnosed and operated as an inguinal hernia. Case presentation A 39-year-old Middle Eastern/P...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-022-03655-6 |
| _version_ | 1811225181401645056 |
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| author | Hamed Ghoddusi Johari Hamidreza Malekhosseini Amirhossein Erfani Reza Shahriarirad |
| author_facet | Hamed Ghoddusi Johari Hamidreza Malekhosseini Amirhossein Erfani Reza Shahriarirad |
| author_sort | Hamed Ghoddusi Johari |
| collection | DOAJ |
| description | Abstract Background Diagnosis of venous aneurysm may be difficult and can be misjudged as mass-like lesions, including hernias. Here we present the case of a patient with a great saphenous vein aneurysm misdiagnosed and operated as an inguinal hernia. Case presentation A 39-year-old Middle Eastern/Persian male presented with left inguinal bulging 15 years ago, which was misdiagnosed and operated on with a diagnosis of inguinal hernia. He was referred to our clinic, in which color Doppler sonography revealed left-sided saphenofemoral junction incompetence with severe flow reversal during the Valsalva maneuver, in favor of a great saphenous vein aneurysm. Ligation of left saphenofemoral junction and stripping of saphenous vein, and stab avulsion phlebotomy of left lower extremity varicose veins, were done. He was discharged the next day after the operation with an uneventful postoperative course or complication on follow-up. Conclusion Venous aneurysms can be misdiagnosed as other, more common, mass-like lesions, such as inguinal hernias. Therefore, our report emphasizes the consideration of thorough assessment and utilization of color duplex sonography to prevent further misdiagnosis and unnecessary intervention and operations. |
| first_indexed | 2024-04-12T09:02:28Z |
| format | Article |
| id | doaj.art-4544ad8a389f4e4c96b9ef183582fe29 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-12T09:02:28Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-4544ad8a389f4e4c96b9ef183582fe292022-12-22T03:39:12ZengBMCJournal of Medical Case Reports1752-19472022-11-011611410.1186/s13256-022-03655-6Great saphenous vein aneurysm mimicking inguinal hernia: a case reportHamed Ghoddusi Johari0Hamidreza Malekhosseini1Amirhossein Erfani2Reza Shahriarirad3Trauma Research Center, Vascular Surgery Department, Shiraz University of Medical SciencesThoracic and Vascular Surgery Research Center, Shiraz University of Medical SciencesThoracic and Vascular Surgery Research Center, Shiraz University of Medical SciencesThoracic and Vascular Surgery Research Center, Shiraz University of Medical SciencesAbstract Background Diagnosis of venous aneurysm may be difficult and can be misjudged as mass-like lesions, including hernias. Here we present the case of a patient with a great saphenous vein aneurysm misdiagnosed and operated as an inguinal hernia. Case presentation A 39-year-old Middle Eastern/Persian male presented with left inguinal bulging 15 years ago, which was misdiagnosed and operated on with a diagnosis of inguinal hernia. He was referred to our clinic, in which color Doppler sonography revealed left-sided saphenofemoral junction incompetence with severe flow reversal during the Valsalva maneuver, in favor of a great saphenous vein aneurysm. Ligation of left saphenofemoral junction and stripping of saphenous vein, and stab avulsion phlebotomy of left lower extremity varicose veins, were done. He was discharged the next day after the operation with an uneventful postoperative course or complication on follow-up. Conclusion Venous aneurysms can be misdiagnosed as other, more common, mass-like lesions, such as inguinal hernias. Therefore, our report emphasizes the consideration of thorough assessment and utilization of color duplex sonography to prevent further misdiagnosis and unnecessary intervention and operations.https://doi.org/10.1186/s13256-022-03655-6Inguinal herniaGreat saphenous vein aneurysmMisdiagnosisAneurysm |
| spellingShingle | Hamed Ghoddusi Johari Hamidreza Malekhosseini Amirhossein Erfani Reza Shahriarirad Great saphenous vein aneurysm mimicking inguinal hernia: a case report Journal of Medical Case Reports Inguinal hernia Great saphenous vein aneurysm Misdiagnosis Aneurysm |
| title | Great saphenous vein aneurysm mimicking inguinal hernia: a case report |
| title_full | Great saphenous vein aneurysm mimicking inguinal hernia: a case report |
| title_fullStr | Great saphenous vein aneurysm mimicking inguinal hernia: a case report |
| title_full_unstemmed | Great saphenous vein aneurysm mimicking inguinal hernia: a case report |
| title_short | Great saphenous vein aneurysm mimicking inguinal hernia: a case report |
| title_sort | great saphenous vein aneurysm mimicking inguinal hernia a case report |
| topic | Inguinal hernia Great saphenous vein aneurysm Misdiagnosis Aneurysm |
| url | https://doi.org/10.1186/s13256-022-03655-6 |
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