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Surgical and Radiologic Anatomy

, Volume 36, Issue 2, pp 189–194 | Cite as

Bilateral persistent sciatic vein: report of a case with developmental, histological and clinical aspects

  • Turan Koç
  • İsmail Yağmurhan Gilan
  • Gökçe Deniz Külekçi
  • Zeliha KurtoğluEmail author
Anatomic Variations
  • 340 Downloads

Abstract

Objective

Bilateral large variant veins were encountered in the lower extremity. It was aimed to identify the structural characteristics of this rare case and then, regarding the structural features, to overview its formation process and denomination.

Material and method

During the routine dissection of a 93-year-old male cadaver, bilateral large variant veins were found at the thigh. Valves of the veins were examined and evaluated together with the vascular wall histology.

Results

The variant vein was loosely attached to the sciatic nerve by fibrous tissue and had anastomoses with the popliteal vein in the popliteal fossa on each side. The popliteal veins were hypoplastic on both sides. The right variant vein was passing through the fibers of the adductor magnus muscle 56.2 mm above the adductor hiatus, which corresponds to the third perforating branch of deep femoral vein. The left one was turning to the front over the adductor magnus muscle, at the lower border of quadratus femoris muscle. The left variant vein was corresponding to the descending branch of the medial circumflex femoral vein. Both variant veins had one incomplete and three well-developed valves.

Conclusion

In accordance with the findings, the variant vein was concluded to be an embryonic remnant, rather than an acquired one subsequent to any obstruction of the femoral vein. Regarding their connection with the popliteal vein but not with the internal iliac vein, both variant veins were denominated as “lower type persistent sciatic vein”. Such a variation would be important with respect to the risk of complication during popliteal sciatic nerve blockade.

Keywords

Sciatic vein Deep femoral vein Popliteal vein Variation Sciatic nerve 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Caggiati A (2008) Embryology and distribution of lower limb venous valves in humans. Medicographia 30:100–105Google Scholar
  2. 2.
    Cherry KJ, Gloviczki P, Stanson AW (1996) Persistent sciatic vein: diagnosis and treatment of a rare condition. J Vasc Surg 23:490–497PubMedCrossRefGoogle Scholar
  3. 3.
    Eberlová L, Tolar J, Mikulás J, Valenta J, Kocová J, Hirmerová J, Fiala P (2011) Variability of the deep femoral venous system. Cas Lek Cesk 150(6):344–346PubMedGoogle Scholar
  4. 4.
    Futamata H, Kawate T, Sakamoto H, Kitami Y, Takeda S (2008) Large-caliber persistent sciatic artery with aneurysm. Anat Sci Int 83(4):301–306PubMedCrossRefGoogle Scholar
  5. 5.
    Golan JF, Garrett WV, Smith BL, Talkington CM, Thompson JE (1986) Persistent sciatic artery and vein: an unusual case. J Vasc Surg 3(1):162–165PubMedGoogle Scholar
  6. 6.
    Goss K (2008) Lower extremity regional anesthesia with the low sciatic nerve block. Clin Podiatr Med Surg 25:431–441PubMedCrossRefGoogle Scholar
  7. 7.
    Jung SC, Lee W, Chung JW, Jae HJ, Park EA, Jin KN, Shin CI, Park JH (2009) Unusual causes of varicose veins in the lower extremities: CT venographic and Doppler US findings. Radiographics 29(2):525–536PubMedCrossRefGoogle Scholar
  8. 8.
    Kachlik D, Pechacek V, Baca V, Musil V (2012) The deep venous system of the lower extremity—new nomenclature. Phlebology 27:48–58PubMedCrossRefGoogle Scholar
  9. 9.
    le Noble F, Moyon D, Pardanaud L, Yuan L, Djonov V, Matthijsen R, Bréant C, Fleury V, Eichmann A (2004) Flow regulates arterial-venous differentiation in the chick embryo yolk sac. Development 131(2):361–375PubMedCrossRefGoogle Scholar
  10. 10.
    Moore HM, Gohel M, Davies AH (2011) Number and location of venous valves within the popliteal and femoral veins: a review of the literature. J Anat 219:439–443PubMedCrossRefGoogle Scholar
  11. 11.
    Mukouyama YS, Shin D, Britsch S, Taniguchi M, Anderson DJ (2002) Sensory nerves determine the pattern of arterial differentiation and blood vessel branching in the skin. Cell 109(6):693–705PubMedCrossRefGoogle Scholar
  12. 12.
    Natsis K, Totlis T, Paraskevas G, Papathanasiou E, Sofidis G, Noussios G (2008) Axial transformation of the profunda femoris vein: formation, relations and course in a cadaveric specimen. Folia Morphol 67:304–306Google Scholar
  13. 13.
    Park EA, Chung JW, Lee W, Yin YH, Ha J, Kim SJ, Park JH (2011) Three-dimensional evaluation of the anatomic variations of the femoral vein and popliteal vein in relation to the accompanying artery by using CT venography. Korean J Radiol 12(3):327–340PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Parry DJ, Aldoori MI, Hammond RJ, Kessel DO, Weston M, Scott DJ (2002) Persistent sciatic vessels, varicose veins, and lower limb hypertrophy: an unusual case or discrete clinical syndrome. J Vasc Surg 36(2):396–400PubMedCrossRefGoogle Scholar
  15. 15.
    Peirce RM, Funaki B (2002) Direct MR venography of persistent sciatic vein in a patient with Klippel–Trenaunay–Weber syndrome. AJR Am J Roentgenol 178(2):513–514PubMedCrossRefGoogle Scholar
  16. 16.
    Raju S, Fountain T, Neglén P, Devidas M (1998) Axial transformation of the profunda femoris vein. J Vasc Surg 27:651–659PubMedCrossRefGoogle Scholar
  17. 17.
    Renaudin JM, Fiscel C, Mercier F, Denost F, Turpault I, Falson OB, Finet M (1999) Smooth muscle differentiation in human vein wall at valvular level: comparison with nonvalvular wall and correlation with venous function. Angiology 50(1):21–30PubMedCrossRefGoogle Scholar
  18. 18.
    Servelle M (1985) Klippel and Trénaunay’s syndrome. 768 operated cases. Ann Surg 201(3):365–373PubMedCrossRefGoogle Scholar
  19. 19.
    Standring S (ed) (2005) Gray’s anatomy, 39th edn. Churchill Livingstone, New York, pp 1452–1453Google Scholar
  20. 20.
    Uhl JF, Gillot C, Chahim M (2010) Anatomical variations of the femoral vein. J Vasc Surg 52(3):714–719PubMedCrossRefGoogle Scholar
  21. 21.
    Uhl JF, Gillot C (2007) Embryology and three-dimensional anatomy of the superficial venous system of the lower limbs. Phlebology 22(5):194–206PubMedCrossRefGoogle Scholar
  22. 22.
    Wang HU, Chen ZF, Anderson DJ (1998) Molecular distinction and angiogenic interaction between embryonic arteries and veins revealed by ephrin-B2 and its receptor Eph-B4. Cell 93(5):741–753PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Turan Koç
    • 1
  • İsmail Yağmurhan Gilan
    • 1
  • Gökçe Deniz Külekçi
    • 2
  • Zeliha Kurtoğlu
    • 3
    Email author
  1. 1.Department of Anatomy, Graduate School of Health SciencesMersin UniversityMersinTurkey
  2. 2.Department of Histology and Embryology, Graduate School of Health SciencesMersin UniversityMersinTurkey
  3. 3.Department of Anatomy, Faculty of MedicineMersin UniversityMersinTurkey

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