Compresión venosa femoral sintomática por quiste sinovial

  1. Aramendi, Claudia
  2. Vega, Melina
  3. Casco, Consuelo
  4. Estallo, Luis
  5. López, Marina
  6. Barba, Ángel
Aldizkaria:
Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

ISSN: 0304-4858 2173-2302

Argitalpen urtea: 2013

Alea: 110

Zenbakia: 3

Mota: Artikulua

Beste argitalpen batzuk: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios

Laburpena

We report a case of right lower limb oedema due to common femoral vein compression by a sinovial cyst. A 38-year-old man described global right lower limb oedema during the previous 2 months. On ultrasound we could see extrinsic compression of the common femoral vein due to a clear cyst. We punctured the cyst and obtained clear liquid compatible with synovial origin. The oedema was thus resolved. Short-term follow-up with ultrasound imaging showed progressive filling of the cyst, although the patient remained asymptomatic. Two months later, the patient again complained of right lower limb oedema and a CT scan was performed, which confirmed the presence of a ganglion cyst, which compressed the adjacent common femoral vein. We performed a complete resection of the lesion, and all symptoms disappeared, with no recurrence after 2-yearfollow-up. The excision of the ganglion cyst is the treatment of choice when symptomatic.