Extraluminal lipoma with common femoral vein obstruction: a cause of chronic venous insufficiency

J Vasc Surg. 2009 Feb;49(2):486-90. doi: 10.1016/j.jvs.2008.08.103.

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.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Debridement
  • Decompression, Surgical
  • Diagnostic Errors*
  • Edema / etiology
  • Femoral Vein* / diagnostic imaging
  • Humans
  • Lipoma / complications
  • Lipoma / diagnosis*
  • Lipoma / surgery
  • Lower Extremity / blood supply*
  • Lower Extremity / surgery
  • Male
  • Middle Aged
  • Phlebography
  • Soft Tissue Neoplasms / complications
  • Soft Tissue Neoplasms / diagnosis*
  • Soft Tissue Neoplasms / surgery
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Varicose Ulcer / etiology
  • Venous Insufficiency / diagnostic imaging
  • Venous Insufficiency / etiology*
  • Venous Insufficiency / surgery
  • Venous Thrombosis / diagnosis*