An interconnected duplicated femoral vein and its clinical significance

• Autorzy: Khan A.A. , Hassan A. , Asari M. A. , Aiman N.
• Języki publikacji: EN

Abstrakty

EN

Anatomical variations in the femoral vein are of great clinical importance especially in cases of deep vein thrombosis (DVT). Knowledge of the variable anatomy of the femoral vein is important to minimise false-negative findings on ultrasound examination in patients with DVT and help to explain the ‘silent’ DVT. Furthermore, the presence of a duplicated femoral vein itself is associated with higher incidence of DVT. These venous anomalies are usually due to the truncular venous malformation. In the present study, while dissecting the right lower limb, we found a case of variation of the femoral vein. In this case, besides a duplicated femoral vein, we also noticed a 3rd interconnecting channel near the apex of the femoral triangle joining the two veins. This variation has not been reported previously by other authors. Considering its uniqueness and clinical importance, we decided to report this case. (Folia Morphol 2013; 72, 1: 82–85)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2013
• Tom: 72
• Numer: 1
• Opis fizyczny: p.82-85,fig.,ref.

Twórcy

autor

Khan A.A.

• Department of Anatomy, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian-16150, Kelantan, Malaysia

autor

Hassan A.

• Department of Anatomy, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian-16150, Kelantan, Malaysia

autor

Asari M. A.

• Department of Anatomy, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian-16150, Kelantan, Malaysia

autor

Aiman N.

• Department of Anatomy, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian-16150, Kelantan, Malaysia

Bibliografia

• 1. Bandyopadhyay M, Biswas S, Roy R (2010) Vessels in femoral triangle in a rare relationship. Singapore Med J, 51: 3–5.
• 2. Cockett FB (1954) Abnormalities of the deep veins of the leg. Post Med J, 30: 512–522.
• 3. Dona E, Fletcher JP, Hughes TM, Saker K, Batiste P, Ramanathan I (2000) Duplicated popliteal and superficial femoral veins: incidence and potential significance. Aust N Z J Surg, 70: 438–440.
• 4. Gordon AC, Wright I, Pugh ND (1996) Duplication of the superficial femoral vein: recognition with duplex ultrasonography. Clin Radiol, 51: 622–624.
• 5. Hammond I (2003) The superficial femoral vein. Radiology, 229: 604–606.
• 6. Kerr TM, Smith JM, McKenna P, Lutter KS, Sampson MG, Helmchen RH, Roedersheimer LR (1992) Venous and arterial anomalies of the lower extremities diagnosed by duplex scanning. Surg Gynecol Obstet, 175: 309–314.
• 7. Lee BB, Laredo J, Neville R (2010) Embryological background of truncular venous malformation in the extracranial venous pathways as the cause of chronic cerebrospinal venous insufficiency. Int Angiol, 29: 95–108.
• 8. Liu GC, Ferris EJ, Reifsteck JR, Baker ME (1986) Effect of anatomic variations on deep vein thrombosis of the lower extremity. Am J Roentgenol, 146: 845–848.
• 9. Park EA, Chung JW, Lee W, Yin YH, Ha J, Kim SJ and Park JH (2011) Three-dimensional evaluation of the anatomic variations of the femoral vein and popliteal vein in relation to the accompanying artery by using CT venography. Korean J Radiol, 12: 327–340.
• 10. Sharma P, Salwan S (2011) Duplication of femoral vein and its significant clinical implications. IJAV, 4: 188–191.
• 11. Quinlan DJ, Alikhan R, Gishen P, Sidhu PS (2003) Variations in lower limb venous anatomy: implications for US diagnosis of deep vein thrombosis. Radiology, 228: 443–448.
• 12. Screaton NJ, Gillard JH, Berman LH, Kemp PM (1998) Duplicated superficial femoral veins: a source of error in the sonographic investigation of deep vein thrombosis. Radiology, 206: 397–401.
• 13. Sigel B, Edelstein AL, Felix WR Jr, Memhardt CR (1973) Compression of the deep venous system of the lower leg during inactive recumbency. Arch Surg, 106: 38–43.
• 14. Sevitt S (1960) Etiology and pathogenesis of deep vein thrombosis. Lancet, 275: 384–385.
• 15. Standring S ed. Gray’s anatomy. 39th Ed. Elsevier. London, 2005: 543–547.
• 16. Uhl JF, Gillot C, Chahim M (2010) Anatomical variations of the femoral vein. J Vasc Surg, 52: 714–719.