Venous Varix of the Digit: Two Cases Report

Lee,  Jin Seok; Jung,  Young Jin; Sohn,  Hyung Bin; Hong,  In Pyo

Case Report

Journal of the Korean Society for Surgery of the Hand 2008;17(1):55-59.
Published online May 31, 2008.

Venous Varix of the Digit: Two Cases Report

Jin Seok Lee, M.D., Young Jin Jung, M.D., Hyung Bin Sohn, M.D., In Pyo Hong, M.D.

Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea. nmcps@unitel.co.kr

수지에 발생한 정맥류 - 2예 보고 -

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Abstract

Varix of the digit is generally defined as an enlarged, tortuous palmar digital vein with or without thrombus within it. It usually presents as a firm, blue mass on the volar aspect of the finger. Mechanical compression or chronic trauma to veins on the volar surface of a digit appears central to the pathogenesis of this lesion. Aging phlebectasia has also been considered as a cause of this lesion in the elderly. A tourniquet test may be useful in demonstrating the presence of a digital varix, but it is confirmed by postoperative microscopic examination. Excision of a symptomatic lesion has proven to be curative. We report two cases of symptomatic digital varix which developed in the fourth finger with a review of literatures.

Key Words: Varix, Digit, Excision