Isolated Saphena Varix: A Rare Case of Groin Swelling

A saphena varix, characterized by the dilation of the great saphenous vein (GSV) near its insertion into the femoral vein, typically manifests along with varicose veins, and isolated occurrences are particularly rare. Clinically, this swelling exhibits a cough impulse, but the diagnosis is confirmed by ultrasonography. The challenge lies in distinguishing such varices from uncomplicated femoral hernias, necessitating the utilization of advanced diagnostic modalities. Here we present a case of isolated saphena varix in a 65-year-old female who was successfully treated with surgery. The objective of this case report is to prompt clinicians to consider this rare presentation as a possible diagnosis when evaluating a patient presenting with groin swelling.