Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202501452
Jornal Vascular Brasileiro
Case Report

Bilateral anomalous veins arising from the popliteal vein with variant termination of the short saphenous vein: a case report

Veias anômalas bilaterais originadas da veia poplítea com terminação variante da veia safena parva: relato de caso

Hisham Muhsen; Naveen Kumar; Abdalla Ahmed Eldaw Elamin; Vijay Paul Samuel; Rana Aly Mohamed Elbeshbeishy

http://dx.doi.org/10.1590/1677-5449.202501452 J Vasc Bras, vol.24, e20250145, 2025
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Abstract

This report explores the presence of bilateral anomalous veins with variant termination of the small saphenous veins (SSV) in both lower limbs. The SSV originated normally on the right side, draining into an anomalous vein from the popliteal vein. This vein then ascended cranially to the back of the thigh and terminated in the thigh veins. On the left side, the SSV had its normal draining pattern into the popliteal vein. However, slightly distal to the saphenopopliteal junction, an anomalous vein originated from the popliteal vein, which ascended upwards to the back of the thigh and terminated in the thigh veins. Presence of variant veins are likely to complicate venous ultrasonography and make procedures more difficult for sonographers to perform. Prior knowledge of variant patterns of superficial veins of the lower limbs is useful for clinicians during coronary bypass procedures, as these vessels are commonly used in such surgeries.

Keywords

short saphenous vein; anomalous vein; Giacomini’s vein; vascular anatomy; venous variation

Resumo

Este relato explora a presença de veias anômalas bilaterais associadas a terminação variante das veias safenas parvas (VSP) em ambos os membros. No lado direito, a VSP apresentou origem habitual, drenando para uma veia anômala proveniente da veia poplítea. Essa veia, por sua vez, ascendeu cranialmente pela região posterior da coxa, terminando nas veias da coxa. No lado esquerdo, a VSP manteve seu padrão usual de drenagem na veia poplítea. Entretanto, um pouco distalmente à junção safeno-poplítea, uma veia anômala originou-se da veia poplítea, ascendendo pela região posterior da coxa e terminando nas veias da coxa. A presença de veias variantes pode dificultar a ultrassonografia venosa e tornar a realização de procedimentos mais complexa para os sonografistas. O conhecimento prévio sobre padrões variantes das veias superficiais do membro inferior é útil para clínicos durante procedimentos de bypass coronário, já que esses vasos são frequentemente utilizados nessas cirurgias.

Palavras-chave

veia safena parva; veia anômala; veia de Giacomini; anatomia vascular; variação venosa

References

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Submitted date:
08/30/2025

Accepted date:
12/22/2025

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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