Incidental abdominal aortic aneurysms are largely undocumented and unmonitored.

Background: In countries without organized population screening, incidental detection remains the major form of abdominal aortic aneurysm (AAA) diagnosis. Despite the presumed homogeneity in AAA prevalence, its rate of repair is highly variable, with Portugal treating 2 to 6 times fewer AAA per habitant than other western countries.

Objectives: To evaluate the detection rate and monitoring of incidental AAA in a multicentre cohort from Portuguese hospitals.

[Deep Venous Thrombosis as the First Manifestation of Hibernoma - Clinical Case].

We present a 36 year-old female patient with a popliteo-femoral deep vein thrombosis whose further workup revealed a thigh tumor later diagnosed as hibernoma. Hibernoma is a very rare benign tumor stemming from vestigial remnants of fetal brown adipose cells, usually disclosed as a slow and painless growing, mass. It is impossible to distinguish it on clinical grounds from the more aggressive and ominous liposarcoma.

Vascular training does matter in the outcomes of saphenous high ligation and stripping.

Objective: Varicose vein (VV) surgery is frequently performed by surgeons without formal vascular training. We aimed to compare the outcomes of the procedure based on the background of the surgeon.

Methods: All patients registered with VV surgery between 2004 and 2016 in Portuguese public hospitals were included in the study.

Co-existence of Abdominal Aortic Aneurysm with Urologic Neoplasm: Which Should Be Treated First in the Endovascular Era?

Introduction: Prevalence of Abdominal Aortic Aneurysm (AAA) with concomitant malignancy rounds 3-13%. Considering only urological neoplasms the prevalence is around 3.6%.

[Deep vein thrombosis in the pediatric population - a rare entity of uncertain prognosis].

Deep vein thrombosis, whose prevalence remains unknown in the pediatric population, is an increasingly common diag- nosis in this age group. This increased incidence makes the post-thrombotic syndrome a likely long-term complication, so there is a critical need to establish high quality evidence over its suitable approach in this population. We present two cases of deep vein thrombosis in children and their management in a hospital of the northern region of Portugal, reviewing the literature on this under researched subject.

[Endovascular Revascularization for Diabetic Foot Ulcer - Experience from a Dedicated Clinic].

Objectives: We aimed to assess the outcome of endovascular revascularization in Diabetic patients with Fontaine stage IV chronic ischaemia, at our Diabetic Foot Clinic. Primary outcomes were ulcer healing, major amputation and limb salvage.

Methods: Retrospective single center analysis of patients treated between January 2009 and May 2015.

[Aneurysmal degeneration of a saphenous vein graft - Case report].

Non-anastomotic degeneration of venous conduits is a rare condition, and its etiology is not fully understood. We report the clinical a case of an aneurysmal degeneration of a femoropopliteal bypass vein graft, undertook 19 years earlier for traumatic injury of the popliteal artery of the left lower limb. Following the resection of the aneurysm, a new femoro-tibioperoneal trunk vein graft was implanted.

[An uncommon cause of lower limb oedema - Case report].

The authors report the clinical case of a 50-year-old man who was observed in the emergency department because of a one week long, painless left lower limb swelling. At presentation, a gross edema was evident and peripheral pulses were present and symmetrical. The ultrasound scan findings suggested short occlusion in the transition of the common femoral (CFV) to the external iliac veins.

[Deep Venous Thrombosis in Emergency Care: From Clinical Suspicion to Correct Diagnosis].

Aim: Retrospective analysis of suspected deep venous thrombosis (DVT) of the lower limbs admitted to an emergency unit and subsequently scanned in the vascular lab.

Methods: Clinical and demographic details of patients were retrieved from clinical files and collected in a database. The statistical software SPSS was used for statistical analysis.