Madden NJ, Calligaro KD, Troutman DA, Maloni K, Dougherty MJ. Giant renal vein aneurysm.
J Vasc Surg Cases Innov Tech 2019;
5:365-368. [PMID:
31440715 PMCID:
PMC6699197 DOI:
10.1016/j.jvscit.2019.06.007]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Accepted: 06/19/2019] [Indexed: 11/25/2022] Open
Abstract
A 37-year-old asymptomatic man presented with incidentally identified intra-abdominal venous aneurysms. Workup, which included venography, demonstrated an absent segment of the inferior vena cava between the inferior right and superior left renal vein, resulting in a 4.4-cm right renal vein aneurysm, dilated common iliac veins, and left external iliac vein aneurysm. Collateralization was robust. Given the limited natural history data and complexities of open reconstruction, we opted to observe this asymptomatic patient with serial imaging, which demonstrated no interval change. We present our case and a review of the literature pertaining to intra-abdominal venous aneurysms.
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