Introduction. Venous aneurysm (VA) is a rare condition that can be presented
in both superficial and deep venous system. Secondary VAs as well as
pseudoaneurysms are usually caused by external spontaneous or iatrogenic
trauma. They are often misdiagnosed and inadequately treated. Complications
include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case
report. We presented a case of secondary VA of the great saphenous vein
developed in a young addict following chronic intravenous drug application in
the groin region. Aneurysm required urgent surgical treatment due to bleeding
complication as it was previously misdiagnosed for hematoma (or abscess) and
punctuated by a general surgeon. Complete resection of VA with successful
preservation of continuity of the great saphenous vein was performed.
Postoperative course was uneventful. Regular venous flow through the great
saphenous vein was confirmed on control ultrasound examination. Conclusion.
VAs are uncommon, among them secondary VA being extremely rare. In cases with
a significant diameter or threatening complications surgical treatment is
recommended.
Secondary venous aneurysm following intravenous drug abuse: A case report
