Cystic adventitial degeneration of popliteal artery and communication with the knee joint – case report
Abstract
Background: Atherosclerosis is the most common cause of lower limb ishemia in developed world. Other nonatherosclerotic causes must be considered in a young patient without specific risk factors, among them cystic adventitial degeneration of popliteal artery, a rare disease with unknown etiology.
Patients and methods: A 27-year-old male patient presented with symptoms of intermittent claudication. He had no risk factors. After prompt diagnosis a surgical procedure was performed. A cystic formation was found in popliteal artery which communicated with knee joint. We evacuated the cyst and closed the communication with the joint. Patient is symptom-free at the moment.
Conclusions: When dealing with a younger patient with signs of intermittent claudication, we have to consider nonatherosclerotic causes of disease, among them cystic adventitial degeneration of popliteal artery. Therapy is surgical, obtained results are very good without recurrence of cysts.
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References
Unno N, Kaneko H, Uchiyama T, Yamamoto N, Nakamura S. Cystic adventitial disease of popliteal artery: Elongation into the media of popliteal artery and communication with the knee joint capsule: Report of a case. Surg Today 2000; 30: 1026–9.
Levien LJ. Nonatheromatous causes of popliteal artery disease. In: Rutherford RB. Vascular surgery. Sixth edition. Vol 1. Philadelphia: Elselvier Saunders; 2005. p. 1236–55.
Atkins HJB, Key JA. A Case of myxomatous tumor arising in the adventitia of the left external iliac artery. Brit J Surg 1947; 34: 426–7.
Ejrup B, Hiertonn T. Intermittent claudication: Three cases treated by free vein graft. Act Chir Scand 1954; 108: 217.
Wright LB, Matchett WJ, Cruz CP, James CA, Culp WC, Eidt JF, et al. Popliteal artery disease: Diagnosis and treatment. RadioGraphics 2004; 24: 467–79.
Hierton T, Lindverg K, Rob C. Cystic adventitial degeneration of popliteal artery. Acta Chir Scand 1957; 113: 72–7.
Shute K, Rothnie NG. The aetiology of cystic arterial disease. Br J Surg 1973; 60: 397–400.
Levien LJ, Benn CA. Adventitial cystic disease: a unifying hypothesis. J Vasc Surg 1998; 28: 193–205.
Crolla RMPH, Steyeling JF, Hennipman A, Slootweg PJ, Taams A. A case of cystic adventitial disease of the popliteal artery demonstrated by magnetic resonance imaging. J Vasc Surg 1993; 18: 1052–5.
Leu HJ, Largiader J, Odermatt B. Pathogenesis of the so called cystic adventitial degeneration of peripheral blood vessels. Virchows Arch (Pathol Anat) 1984; 404: 289–300.
Powis SJA, Morissey DM, Jones EL. Cystic degeneration of popliteal artery. Surgery 1970; 67: 891–4.
Haid SP, Conn J, Bergan JJ. Cystic adventitial disease of popliteal artery. Arch Surg 1970; 101: 765–70.
Elias DA, White LM, Rubenstein JD, Christakis M, Merchant N. Clinical evaluation of MR imaging features of popliteal artery entrapment and cystic adventitial disease: pictorial essay. AJR Am J Roentgenol 2003; 180: 627–32.
de Klerk G, The RM, Zeeuwen WJ, Akkersdijk WL, van de Pauoordt HD, de Vries JP. Cystic adventitial degeneration of the popliteal artery; an unexpected cause of intermittent claudication. Ned Tijdschr Geneeskd 2005; 149 (32):1802–7.
Rispoli P, Moniaci D, Zan S, Cassatella R, Varetto G, Maselli M, et al. Cystic adventitial disease of popliteal artery. Report of 1 case and review of the literature. J Cardiovasc Surg 2003; 44: 255–8.
Carter AE, Eban RA. A case of bilateral developmental abnormality af the popliteal arteries and gastrocnemius muscles. Br J Surg 1964; 51: 518.
Love JW, Whelan TJ. Popliteal artery entrapment syndrome. Am J Surg 1965; 109: 602.
Clanton TO, Solcher BW. Chronic leg pain in the athlete. Clin sports Med 1994; 13: 743.
Nicolau H, Calen S, Gourul JC, Stoiber HP, Cesarini M, Videau J. Adventitial cysts of popliteal artery. Ann Vasc Surg 1988; 2: 196–9.
Samson RH, Willis PD. Popliteal artery occlusion caused by cystic adventitial disease: succesful treatment by urokinase followed by non resectional cystotomy. J Vasc Surg 1990; 12: 591–3.
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