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Extraluminal lipoma with common femoral vein obstruction: A cause of chronic venous insufficiency  Antonios P. Gasparis, MD, Stylianos Tsintzilonis, MD,

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Presentation on theme: "Extraluminal lipoma with common femoral vein obstruction: A cause of chronic venous insufficiency  Antonios P. Gasparis, MD, Stylianos Tsintzilonis, MD,"— Presentation transcript:

1 Extraluminal lipoma with common femoral vein obstruction: A cause of chronic venous insufficiency 
Antonios P. Gasparis, MD, Stylianos Tsintzilonis, MD, Nicos Labropoulos, PhD  Journal of Vascular Surgery  Volume 49, Issue 2, Pages (February 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A picture of the patient's lower extremities early in the morning. Right leg with edema and skin change consistent with chronic venous insufficiency. Left leg with mild edema and early skin changes. The right thigh circumference 70 cm and the left 54 cm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Duplex ultrasound in 2003 showed persistent occlusion of the common femoral vein measuring 22 mm, which progressed from 9.6 mm in SFA, Superficial femoral artery; DFA, deep femoral artery; CFV, common femoral artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Duplex ultrasound in 2008 with persistent occlusion of the common femoral vein and increase in size to 30 mm (a). Cystic appearing mass compressing the common femoral vein (arrow) and displacing the femoral vessels (b) and (c). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Duplex ultrasound and venography with minimal flow in supine position (a) and (c). Distal augmentation demonstrates patency of the common femoral vein (b), (d), and (e). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Intraoperative images and histopathology. a, An encapsulated mass (arrow) was identified, which was compressing the underlying common femoral vein. b, An extravascular lipoma was released once the capsule was opened. c, Underlying common femoral vein following removal of lipoma. d, Low power view of lipoma, ×40 magnification. Varying sizes of normal adipocytes. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

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