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Abstract：
An 81-year-old male with a history of poorly controlled congestive heart failure, chronic obstructive pulmonary disease and atrial fibrillation among other comorbidities was admitted to the hospital for worsening bilateral leg swelling and cellulitis. The patient had an injury to his left medial malleolus 2 weeks prior, which failed outpatient care. During the physical exam, a soft mobile mass was palpated in the right popliteal fossa along with bilateral varicose veins, +1 pitting edema in bilateral lower extremities up to mid-calf. Duplex ultrasound revealed a saccular dilation in the right popliteal vein measuring 2.2 × 1.8 × 2.8 cm, without any evidence of superficial or deep vein thrombosis. After an extended conversation with the patient and his care team, a decision to continue with medical management with close monitoring was made. Follow-up ultrasounds performed at 1, 6 and 12 months show no changes.
摘要：
一名81岁男性，有控制不佳的充血性心力衰竭史，慢性阻塞性肺疾病和心房纤颤以及其他合并症均因双侧腿部肿胀和蜂窝织炎恶化而入院。患者2周前左内踝受伤，门诊护理失败。体检期间,在右pop窝以及双侧静脉曲张触诊了一个软活动肿块，双侧下肢至小腿中部+1点状水肿。双联超声提示右骶静脉内囊状扩张2.2×1.8×2.8cm，没有任何浅静脉或深静脉血栓的证据。在与病人和他的护理团队进行了长时间的交谈后，决定继续进行密切监测的医疗管理.在1个月、6个月和12个月进行的后续超声检查显示没有变化。
