Thrombosed Saphena Varix

摘要

A 57-year-old female presented with a swelling in her right groin for the last 2 years. There was gradual increase in size of the swelling over 2 years. Currently, she presented with acute pain. The swelling reduced on lying down and increased on standing. It was an isolated groin swelling without evidence of associated great saphenous vein varicosity. On examination, there was a small, round swelling, 4 cm below and lateral to the right pubic tubercle, measuring around 6 cm x 5 cm, hard, tender, noncompressible, irreducible, and nonfluctuant. Cough impulse was negative. The overlying skin appeared to be normal. No associated signs of venous insufficiency in the form of varicosity, edema, pigmentation, ulcer, etc., were found. Diagnosis was confirmed by Duplex imaging which showed echogenic contents suggesting thrombosis within sacculation of the terminal part of greater saphenous vein Figures 1-3.