Venous adventitial cystic disease is a very rare disease that can cause deep vein thrombosis:A case report  

作　　者：Miju Bae Up Huh Chung Won Lee Jong Won Kim 

机构地区：[1]Department of Thoracic and Cardiovascular Surgery,Pusan National University School of Medicine,Busan 49241,South Korea [2]Biomedical Research Institute,Pusan National University Hospital,Busan 49241,South Korea

出　　处：《World Journal of Clinical Cases》2023年第34期8170-8175,共6页世界临床病例杂志

基　　金：the Bio&Medical Technology Development Program of the National Research Foundation(NRF)funded by the Korean government(MSIT),No.RS-2023-00223764.

摘　　要：BACKGROUND Venous adventitial cystic disease(VACD)is a rare disease characterized by cysts,filled with a gelatinous mucous substance similar to joint fluid,in the adventitia of blood vessels adjacent to the joints.It is often misdiagnosed as deep vein thrombosis(DVT),femoral varices,venous tumors,or lymphadenopathy.CASE SUMMARY A 69-year-old woman visited our hospital with a complaint of swelling in the right lower extremity.The patient was diagnosed with DVT and prescribed apixaban at an outpatient clinic.After 3 wk,the patient was hospitalized again because of sudden swelling in the right lower extremity.We diagnosed VACD and performed surgery for cyst removal as well as patch angioplasty and thrombectomy of the right common femoral vein.The patient received anticoagulants for 6 mo and has been doing well without recurrence for 1 year postoperatively.CONCLUSION Recurrent VACD requires complete removal of the connections to the joint cavity to prevent recurrence.

关 键 词：ADVENTITIA CYSTS EDEMA Joints Venous thrombosis Case report 

分 类 号：R563.5[医药卫生—呼吸系统] R543.6[医药卫生—内科学]