Abstract
A 49-year-old man, with a misdiagnosis of common femoral vein deep vein thrombosis presented with advanced chronic venous insufficiency. Further imaging revealed a patent common femoral vein with augmentation that was compressed by an extrinsic mass. Exploration identified a lipoma that was extravascular and was resulting in venous outflow obstruction. Excision of the lipoma resulted in clinical improvement and ulcer healing.
MeSH terms
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Chronic Disease
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Debridement
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Decompression, Surgical
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Diagnostic Errors*
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Edema / etiology
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Femoral Vein* / diagnostic imaging
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Humans
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Lipoma / complications
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Lipoma / diagnosis*
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Lipoma / surgery
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Lower Extremity / blood supply*
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Lower Extremity / surgery
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Male
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Middle Aged
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Phlebography
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Soft Tissue Neoplasms / complications
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Soft Tissue Neoplasms / diagnosis*
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Soft Tissue Neoplasms / surgery
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Treatment Outcome
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Ultrasonography, Doppler, Color
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Varicose Ulcer / etiology
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Venous Insufficiency / diagnostic imaging
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Venous Insufficiency / etiology*
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Venous Insufficiency / surgery
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Venous Thrombosis / diagnosis*