Chronic common femoral vein occlusion secondary to endometriosis
This case report details chronic common femoral vein occlusion caused by an endomctrioma, successfully treated with surgical resection and venous bypass.
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This paper reports a case of a 26-year-old woman with right lower extremity swelling and groin pain due to chronic common femoral vein occlusion from an endometrioma causing external compression, with an earlier diagnosis of right external iliac/common femoral thrombosis and an asymptomatic pulmonary embolus. After initial anticoagulation and an aborted attempt at mass excision, imaging showed a 2.2×2.6 cm inguinal mass encasing a 7 cm segment of common femoral vein; the authors performed radical resection with an end-to-end bypass using contralateral spiral great saphenous vein plus a temporary arteriovenous fistula, and later used diagnostic laparoscopy to document pelvic endometriosis and plan leuprolide therapy. The key limitation is that this is a single case, so findings about optimal management and outcomes cannot be generalized beyond the reported patient. This paper is centrally about endometriosis — it describes endometrioma-driven common femoral vein occlusion treated with venous resection and reconstruction.
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References (14)
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- Endometriosis causing lower extremity deep vein thrombosis — case report and review of the literature via openalex
- Endometriosis Involving the Femoral Vein via openalex
- Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis via openalex
- Surgical treatment for colorectal endometriosis. via openalex
- The Treatment of Endometriosis via openalex
- Treatment of Endometriosis via openalex
- W6601661401 via openalex
- W1562432547 via openalex
- W2024661583 via openalex
- W2043306284 via openalex
- W2053780698 via openalex
- W2093303434 via openalex
- W2322133447 via openalex
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- europepmc
- last seen: 2026-06-12T06:13:51.797165+00:00
- openalex
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- pubmed
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- scilite
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