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Saccular aneurysm of the iliofemoral vein: an uncommon mimic of an occult inguinal hernia
  1. Gregory Metzger1 and
  2. John Doughton2
  1. 1Family Medicine, University of North Carolina System, Chapel Hill, North Carolina, USA
  2. 2Family Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA
  1. Correspondence to Dr Gregory Metzger; gmetzger{at}


A 72-year-old man presented to clinic with a 1-week history of worsening groin pain. He had a normal hip examination and tenderness worsened with valsalva, but no mass palpated in the inguinal region. He was found to have a large saccular aneurysm of the iliofemoral vein on ultrasound and subsequently started on anticoagulation and referred to vascular surgery.

  • general practice / family medicine
  • radiology
  • ultrasonography
  • vascular surgery

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  • Contributors GM drafted the article. JD engaged in critical revision and final approval of the version being published.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.