A Case Report of Right Femoral Vein Obstruction Caused by Iliopsoas Bursitis.

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  • 腸恥滑液包炎による右大腿静脈閉塞の1例

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A 73-year-old woman with swelling, numbness, and burning in the left leg was found in color doppler imaging ultrasonography to have a 4×3cm low echoic mass at the dorsal femoral artery and vein. Computed tomography (CT) showed a uniform mass near the iliopsoas muscle compressing the femoral vein from behind. We diagnosed iliopsoas bursitis because of the cystic mass near the iliopsoas muscle at the ventral hip joint bursa seen in magnetic resonance imaging (MRI) joint cavity. Venography indicated femoral vein obstruction. She underwent aspiration of the cystic mass by ultrasound-guided puncture under temporary vena cava inferior (VCI) filter insertion. We aspirated about 15ml of yellowish hypermucous fluid. Venography after aspiration showed the femoral vein obstruction had disappeared. A week after aspiration, CT findings was rest of cystic mass. We followed her up for a few months but magnetic resonance venography (MRV) findings showed no femoral vein obstruction. Four months after aspiration, CT showed no cystic mass. Her symptons disappeared and her subsequent course appears satisfactory.

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