Arteriovenous fistula of the lateral superior and inferior geniculate arteries. A unique cause of a "recurrent prepatellar bursa.
We report a previously undocumented case of an arteriovenous fistula of the superior and inferior lateral geniculate arteries presenting with what was thought to be a recurrent prepatellar bursa requiring repeated drainage and excision. The diagnosis was made by arteriography. Surgical exploration and ligation of the feeding and draining vessels, via a posterior approach, alleviated the symptoms. Vascular injury should be suspected in patients presenting with recurrent postoperative hematomas or hemarthroses following surgery on the knee.
Karkos
C D
CD
Department of Surgery, Blackpool Victoria Hospital, Blackpool, England, UK. ckarkis@hotmail.com
Sampath
S A C
SA
Bury
R
R
Mohandas
P
P
Forrest
L
L
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002062:Bursitis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007717:Knee / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000601:surgery