[Rare case of popliteal artery injury caused by distal femoral exostosis. Case report].
Complications of multiple exostoses occur rarely and articles about it can be found occasionally. We found reasonable to report our case because of its rarity. A female patient of 17 was under treatment in the Orthopaedic Clinic with multiple exostoses. Before her admission to the Clinic, a suddenly, painful swelling in the distal-third of the left femur occurred, and then a well detailed examination has done (bone radiograph, angiogramm, MR). The examinations arised the presence of pseudoaneurysm as a background of the swelling of the soft tissue, as well as the possibility of juvenile bone tumor at the same time. During the operation we detected a sharp exostosis on the distal medial condyle of the femur, which occurred a lesion on the popliteal artery. It was the base of forming the pseudoaneurysm. As a conclusion we would like to underline that during the attend of such cases, the presence of vascular surgical team is necessary.
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Debreceni Egyetem Orvos- és Egészségtudományi Centrum I. sz. Sebészeti Klinika, 4012 Debrecen, Pf. 27. tothcs@hotmail.com
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D000293:Adolescent; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005096:Exostoses / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D014656:Vascular Surgical Procedures