Secondary venous aneurysm following intravenous drug abuse: A case report

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complicati...

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Main Authors: Marković Miroslav, Dragaš Marko, Končar Igor, Banzić Igor, Pejkić Siniša, Fatić Nikola, Davidović Lazar
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2016-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600026M.pdf
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author Marković Miroslav
Dragaš Marko
Končar Igor
Banzić Igor
Pejkić Siniša
Fatić Nikola
Davidović Lazar
author_facet Marković Miroslav
Dragaš Marko
Končar Igor
Banzić Igor
Pejkić Siniša
Fatić Nikola
Davidović Lazar
author_sort Marković Miroslav
collection DOAJ
description Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended. [Projekat Ministarstva nauke Republike Srbije, br. ON175008 i br. III41007]
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spelling doaj.art-b269a59355d841e29f99824165cc72b12022-12-21T18:23:57ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202016-01-0173550050310.2298/VSP140617026M0042-84501600026MSecondary venous aneurysm following intravenous drug abuse: A case reportMarković Miroslav0Dragaš Marko1Končar Igor2Banzić Igor3Pejkić Siniša4Fatić Nikola5Davidović Lazar6Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeClinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeFaculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic for Vascular and Endovascular Surgery, BelgradeIntroduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended. [Projekat Ministarstva nauke Republike Srbije, br. ON175008 i br. III41007]http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600026M.pdfaneurysmsaphenous veindiagnosis, differentialhistological techniquesinjections, intravenousopioid-related disordersvascular surgical procedures
spellingShingle Marković Miroslav
Dragaš Marko
Končar Igor
Banzić Igor
Pejkić Siniša
Fatić Nikola
Davidović Lazar
Secondary venous aneurysm following intravenous drug abuse: A case report
Vojnosanitetski Pregled
aneurysm
saphenous vein
diagnosis, differential
histological techniques
injections, intravenous
opioid-related disorders
vascular surgical procedures
title Secondary venous aneurysm following intravenous drug abuse: A case report
title_full Secondary venous aneurysm following intravenous drug abuse: A case report
title_fullStr Secondary venous aneurysm following intravenous drug abuse: A case report
title_full_unstemmed Secondary venous aneurysm following intravenous drug abuse: A case report
title_short Secondary venous aneurysm following intravenous drug abuse: A case report
title_sort secondary venous aneurysm following intravenous drug abuse a case report
topic aneurysm
saphenous vein
diagnosis, differential
histological techniques
injections, intravenous
opioid-related disorders
vascular surgical procedures
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600026M.pdf
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AT banzicigor secondaryvenousaneurysmfollowingintravenousdrugabuseacasereport
AT pejkicsinisa secondaryvenousaneurysmfollowingintravenousdrugabuseacasereport
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