Article Text

Download PDFPDF
Cystic adventitial disease of the common femoral vein
  1. Emma Howard1,
  2. Ruth Benson2,
  3. Christopher Day3,
  4. Brian Gwynn2
  1. 1 School of Medicine, Keele University, Keele, UK
  2. 2 Department of Vascular Surgery, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Staffordshire, UK
  3. 3 Department of Radiology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, Staffordshire, UK
  1. Correspondence to Emma Howard, emm.howard{at}


We present the case of a 46-year-old commercial pilot with a history of unilateral leg swelling following a flight to Geneva. Although initial clinical examination suggested a deep vein thrombosis, the swelling only partially resolved with anticoagulation and further imaging suggested the presence of adventitial cystic disease (ACD). The patient underwent initial anticoagulation to allow any thrombus to be lysed, followed by excision of the ACD from the venous wall and venous reconstruction. Following the excision of the ACD, providing the patient remains asymptomatic and further imaging finds normal venous anatomy, we hope the patient will discontinue anticoagulation and return to flying.

  • Vascular surgery
  • Surgery

Statistics from


  • Contributors EH conducted the literature review for the case and made a significant contribution to writing the case report. RB made a significant contribution to the writing and editing of the case report and literature review. CD contributed significantly to collecting, interpreting and producing the radiological images and associated legends of the case. He also contributed to writing and editing the case report. BG initially consulted the patient in clinic and performed the excision of the adventitial cystic disease. He also contributed to the intraoperative findings and images provided in the report. He further contributed to the editing of the case report.

  • Competing interests None declared.

  • Patient consent Obtained.

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

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.