Saphena varix
Encyclopedia
A saphena varix, or a saphenous varix is a dilation of the saphenous vein
Saphenous vein
Saphenous vein may refer to:*Great saphenous vein*Small saphenous vein...

 at its junction with the femoral vein
Femoral vein
In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor canal and is a continuation of the popliteal vein...

 in the groin.

Clinical features

It displays a cough impulse and may be mistaken for a femoral hernia
Femoral hernia
A hernia is caused by the protrusion of a viscus through a weakness in the containing wall. This weakness may be inherent, as in the case of inguinal, femoral and umbilical hernias. On the other hand, the weakness may be caused by surgical incision through the muscles of the abdominal/thoracic wall...

. However it has a bluish tinge and disappears on lying down. On auscultation
Auscultation
Auscultation is the term for listening to the internal sounds of the body, usually using a stethoscope...

 a venous hum may be heard. It is frequently associated with varicose veins
Varicose veins
Varicose veins are veins that have become enlarged and tortuous. The term commonly refers to the veins on the leg, although varicose veins can occur elsewhere. Veins have leaflet valves to prevent blood from flowing backwards . Leg muscles pump the veins to return blood to the heart, against the...

.
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