Diagnosis and treatment of venous adventitial cystic disease

Abstract

Venous adventitial cystic disease (VACD) is a rare vascular disease which often manifests as unilateral limb swelling, and so misdiagnosed as other diseases such as deep vein thrombosis. Color Doppler ultrasound, CT angiography and magnetic resonance imaging play a crucial role in the diagnosis of VACD. Surgical treatment is the main method for VACD, including cyst incision, cyst wall resection, cyst puncture, aspiration and cyst and vessel resection. The recurrence rate of VACD is relatively high, ranging from 20% to 83%. Enhancing the understanding of VACD, making accurate diagnoses and appropriate surgical operation are of great significance for improving treatment outcomes and reducing the recurrence rate.

Keywords

• venous adventitial cystic disease|deep vein thrombosis|venous thromboembolism|vascular cyst