Case of the
Picture 1: Patient
is a 47 y/o male that presented with aching discomfort in
his legs mostly in the left leg and especially by the end
of the day.
obvious large varicosities bilaterally with minimal swelling
with the left leg worse than the right. He denied history of
previous deep venous thrombosis, phlebitis, or previous rupture
of the varicose veins.
Picture 2: Patient is a 58 y/o male that
presented with swelling and aching of both lower extremities.
He had bilateral varicose veins especially on the right with
discoloration and stasis changes however no ulceration or
previous ulceration was reported. He denied previous deep
venous thrombosis or phlebitis.
What do you
Both patients have
venous aneurysms! The word "aneurysm" comes from the
Greek "aneurysma" meaning "a widening."
aneurysm is a dilatation or bulging of the vein. The wall is
usually stretched or weakened therefore making the risk of
rupture greater. Venous aneurysms are rare and are suspected to
be caused from congenital defects, degenerative or inflammatory
changes. The most common veins reported as aneurysmal are the
superior vena cava and the popliteal veins. There are two types
of aneurysms "saccular" and "fusiform". A saccular aneurysm is
a dilation that appears like a sack or a "blow out" of a
section of the walls of the vessels. A fusiform is an elongated
spindle shaped dilatation of the walls of the
is an illustration
take another look at the images and we can see the difference
in the appearance of the vein
dilatation has a saccular appearance off the side
of the vein
This vein is more uniormly large and
has a more fusiform appearance
*Both patients were successfully treated with
endovenous ablation. Neither patient had complications.
The first patient was treated with laser and the second
For a video clip of a large superficial venous
aneurysm, click the QVI
Please email me with any questions or