Thrombosed popliteal aneurysm - first manifestation of bilateral popliteal entrapment syndrome.
Popliteal artery entrapment syndrome is a rare and underdiagnosed cause of claudication in the young adult. One of its rare and potentially limb threatening complications is aneurysmal degeneration. We present a case of a fifty years old man with a bilateral popliteal entrapment syndrome admitted with an acutely thrombosed aneurysm at the right inferior limb. An urgent bypass was required. The contralateral limb presented with a type III entrapment and an elective section of a musculotendinous structure was performed. This case suggests that an early diagnosis is mandatory to avoid a dramatic clinical outcome and to limit the surgical treatment to a myotomy.
Department of Angiology and Vascular Surgery, Centro Hopitalar de Vila Nova de Gaia/Espinho, Portugal.
J
J
Ferreira
A
A
Canedo
S
S
Graça
S
S
Braga
M
M
Maia
D
D
Brandão
P
P
Monteiro
V
V
Martins
P
P
Brandão
G
G
Vaz
D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D013577:Syndrome; D017131:Thrombectomy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color