Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases

Aim. Presentation of two cases of superficial epigastric vein aneurysm simulating inguinal hernia. To our knowledge, only one other case is reported in the literature. Case presentation. The first case was a 34-year-old female with left inguinal pain and swelling which was clinically diagnosed as in...

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Main Authors: Eleni Skandalou, Panagiotis Papadopoulos, Marianthi Kavelidou, Stavros Kalfadis, Theodoros Tzigkalidis, Ioannis Skandalos
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2021/2418863
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author Eleni Skandalou
Panagiotis Papadopoulos
Marianthi Kavelidou
Stavros Kalfadis
Theodoros Tzigkalidis
Ioannis Skandalos
author_facet Eleni Skandalou
Panagiotis Papadopoulos
Marianthi Kavelidou
Stavros Kalfadis
Theodoros Tzigkalidis
Ioannis Skandalos
author_sort Eleni Skandalou
collection DOAJ
description Aim. Presentation of two cases of superficial epigastric vein aneurysm simulating inguinal hernia. To our knowledge, only one other case is reported in the literature. Case presentation. The first case was a 34-year-old female with left inguinal pain and swelling which was clinically diagnosed as inguinal hernia. The second case was a 28-year-old female with inguinal pain and swelling, depicted with triplex ultrasonography and computed tomography, and was suspected to have inguinal hernia or enlarged inguinal lymph node. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. The superficial epigastric vein was ligated, and the venous aneurysms (6×4×3 and 2×3×2.5 cm, respectively) were excised. Histological examination of the thrombosed aneurysm showed complete replacement of the vascular wall by fibrous tissue, thrombosis, and an inflammatory reaction. There were no postoperative complications, and both patients were discharged on the second postoperative day. The 3-month and 1-year follow-up examination, respectively, was uneventful. Conclusion. Although venous aneurysms in the inguinal area are rare, they should be included in the differential diagnosis of a groin swelling.
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spelling doaj-art-fa82065d8fe94bf599d3c1a0d1b5fb6b2025-08-20T03:25:57ZengWileyCase Reports in Vascular Medicine2090-69862090-69942021-01-01202110.1155/2021/24188632418863Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two CasesEleni Skandalou0Panagiotis Papadopoulos1Marianthi Kavelidou2Stavros Kalfadis3Theodoros Tzigkalidis4Ioannis Skandalos5Internal Medicine Department, General Hospital “G. Papanikolaou”, Thessaloniki, GreeceSurgical Department, General Hospital “Agios Pavlos”, Thessaloniki, GreeceSurgical Department, General Hospital “Agios Pavlos”, Thessaloniki, GreeceB΄Surgical Department General Hospital “G. Papanikolaou”, Thessaloniki, GreecePathology Department, General Hospital “Agios Pavlos”, Thessaloniki, GreeceSurgical Department, General Hospital “Agios Pavlos”, Thessaloniki, GreeceAim. Presentation of two cases of superficial epigastric vein aneurysm simulating inguinal hernia. To our knowledge, only one other case is reported in the literature. Case presentation. The first case was a 34-year-old female with left inguinal pain and swelling which was clinically diagnosed as inguinal hernia. The second case was a 28-year-old female with inguinal pain and swelling, depicted with triplex ultrasonography and computed tomography, and was suspected to have inguinal hernia or enlarged inguinal lymph node. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. During the surgical exploration, both patients were found to have thrombosed aneurysm of the superficial epigastric vein. The superficial epigastric vein was ligated, and the venous aneurysms (6×4×3 and 2×3×2.5 cm, respectively) were excised. Histological examination of the thrombosed aneurysm showed complete replacement of the vascular wall by fibrous tissue, thrombosis, and an inflammatory reaction. There were no postoperative complications, and both patients were discharged on the second postoperative day. The 3-month and 1-year follow-up examination, respectively, was uneventful. Conclusion. Although venous aneurysms in the inguinal area are rare, they should be included in the differential diagnosis of a groin swelling.http://dx.doi.org/10.1155/2021/2418863
spellingShingle Eleni Skandalou
Panagiotis Papadopoulos
Marianthi Kavelidou
Stavros Kalfadis
Theodoros Tzigkalidis
Ioannis Skandalos
Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
Case Reports in Vascular Medicine
title Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
title_full Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
title_fullStr Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
title_full_unstemmed Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
title_short Thrombosed Aneurysm of Superficial Epigastric Vein Simulating Inguinal Hernia: Report of Two Cases
title_sort thrombosed aneurysm of superficial epigastric vein simulating inguinal hernia report of two cases
url http://dx.doi.org/10.1155/2021/2418863
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