Presentation
Slowly worsening localized pain and tenderness around the medial aspect of the right ankle. No history of trauma.
Patient Data
The immediate cause of the symptoms is a superficial thrombophlebitis of the distal part of the GSV.
As a concerning "incidental" finding a circumscribed dilation of the popliteal vein was observed proximal to the SSV junction. Note the marked spontaneous echocontrast indicating turbulent, disturbed blood flow.
Case Discussion
While the superficial and circumscribed thrombophlebitis can be easily resolved using conservative therapy, the asymptomatic popliteal venous aneursym warrants close follow-up, and possibly surgery. Deep venous aneurysms are rare, but life-threatening as they predispose to DVT and pulmonary embolism.