Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202400242
Jornal Vascular Brasileiro
Case Report

Giacomini’s vein – a report on the invaluable importance of an anomalous short saphenous vein

Veia de Giacomini: um relato sobre a importância inestimável de veia safena parva anômala

Abdalla Ahmed Eldaw Elamin; Naveen Kumar; Vijay Paul Samuel; Kumar Megur Ramakrishna Bhat

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Abstract

Variations in the drainage (termination) and course of the lower limb veins are not uncommon. When dissecting the left lower limb of the adult male cadaver in the vascular case described herein, a unique kind of unilateral short saphenous vein (SSV) termination was observed. It was found that the SSV had normal origin and course in the dorsum of the foot and the back of the leg, respectively. Most often the SSV terminates in the popliteal vein at the popliteal fossa. In this case, it extended upward into the back of the thigh, passing behind the sciatic nerve and then deep to it and the biceps femoris, and finally ended in the veins of the thigh. The SSV did not penetrate any structures along its course to the end, so this unusual vein appears unlikely to be associated with SSV varicose veins. For general, plastic, cardiothoracic, and vascular surgeons, our case would be of significant value.

Keywords

Giacomini’s vein; SSV; varicose vein; sural artery flap

Resumo

Variações na drenagem (terminação) e curso das veias dos membros inferiores não são incomuns. No caso vascular relatado, ao dissecar o membro inferior esquerdo de um cadáver adulto do sexo masculino, foi observado um tipo único de veia safena parva (VSP) unilateral. Verificou-se que a VSP tinha origem e curso normais no dorso do pé e na traseira da perna, respectivamente. É mais comum a VSP terminar na veia poplítea, localizada na fossa poplítea. No caso relatado, ela se estendia para cima até a parte posterior da coxa, passando por trás e profundamente no nervo ciático e no músculo isquiotibial, finalizando nas veias da coxa. A VSP não penetra nenhuma estrutura no seu curso; portanto, não é provável que esta veia incomum esteja associada a veias varicosas da VSP. Para cirurgiões gerais, plásticos, cardiotorácicos e vasculares, nosso caso é de extrema importância.

Palavras-chave

veia de Giacomini; veia safena parva; veia varicosa; retalho da artéria sural

References

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Submitted date:
03/03/2024

Accepted date:
05/20/2024

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