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A Rare Case of Linear Phlebolith: Foreign Body Discovered in the Femoral Vein.

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January 2025

Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh 11322, Saudi Arabia.

Phlebolith is a term that refers to round-shaped calcified thrombi commonly located in the pelvic region. The occurrence of dense, linear calcifications or phlebolith-like formations within the soft tissues of the lower extremities, particularly in the superficial femoral, greater saphenous, or popliteal veins, is rare. This study presents the case of a 73-year-old woman who was being evaluated for postmenopausal bleeding.

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Article Synopsis
  • Popliteal artery injury is a rare but significant complication of knee arthroscopic surgery, highlighting a need for more research due to a lack of data and guidelines.
  • The study analyzed 17,000 procedures and found a 0.059% incidence of popliteal artery injury among 10 patients, detailing the types of surgeries performed and various treatment methods used.
  • After an average follow-up of over 43 months, patients showed no reported complications and exhibited positive recovery in joint function and vascular health.
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This case report describes a unique presentation of May-Thurner syndrome (MTS) in a 28-year-old woman, characterized by the congenital bifurcation of the left common iliac vein (LCIV) into the outer (OLCIV) and inner (ILCIV) segments. Both veins experienced significant compression - OLCIV proximally and ILCIV medially - due to the overlying right common iliac artery (RCIA) and lumbar spine. The patient presented with bilateral spider veins, lower extremity swelling, pelvic discomfort, and bilateral leg cramping.

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