Popliteal artery entrapment syndrome: non-invasive diagnosis by MDCT and MRI.
We present a case of a 19-year-old male patient complaining of right leg pain, which appeared after exercise and abated with rest. Computed tomography (CT) and magnetic resonance angiography (MRA) showed occlusion of right popliteal artery. Volume rendering CT image showed not only occlusion of right popliteal artery but also abnormal course of the medial head of the gastrocnemius muscle (MHG). CT and MR images of right popliteal fossa showed the abnormal anatomy that MHG coursed between popliteal artery with thrombus and popliteal vein. Popliteal artery entrapment syndrome was diagnosed non-invasively by multidetector CT and MRI. Sectional radiological and three-dimensional images are useful for not only depiction of the arterial changes but also identification of the abnormal anatomic structures responsible for the entrapment.
Utsunomiya
D
D
Diagnostic Imaging Center, Saiseikai Kumamoto Hospital, Kumamoto-shi, Kumamoto, Japan. d-utsunomiya@skh.saiseikai.or.jp
Sawamura
T
T
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging* / Q000473:pathology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*