title: Inflammatory popliteal aneurysm.
abstract: A 67-year-old man was referred to our department because of fever, right lower thigh swelling, and redness with pain. Laboratory tests showed slightly elevated leukocytes and markedly elevated C-reactive protein levels. Computed tomography confirmed a popliteal aneurysm with wall thickening, so-called mantle sign. Aneurysmorrhaphy with a reversed autologous saphenous vein reconstruction was performed. Aneurysm sac and perianeurysm tissue cultures were negative for aerobic and anaerobic bacteria. The microscopic appearance of the aneurysm showed thickening of the adventitia and infiltration of inflammatory cells. This report presents, for the first time, findings suggestive of an inflammatory aneurysm of the popliteal artery.
authors.affiliation: Division of Advanced Surgical Science and Technology, Graduate School of Medicine, Tohoku University, Aoba-ku Sendai, Japan. ddaa06222000@yahoo.co.jp
authors.forename: Daijirou
authors.initials: D
authors.lastname: Akamatsu
authors.forename: Fumiyoshi
authors.initials: F
authors.lastname: Fujishima
authors.forename: Akira
authors.initials: A
authors.lastname: Sato
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Goto
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Watanabe
authors.forename: Munetaka
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Takuya
authors.initials: T
authors.lastname: Shimizu
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Sugawara
authors.forename: Teiji
authors.initials: T
authors.lastname: Miura
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Zukeran
authors.forename: Fukashi
authors.initials: F
authors.lastname: Serizawa
authors.forename: Yow
authors.initials: Y
authors.lastname: Hamada
authors.forename: Ken
authors.initials: K
authors.lastname: Tsuchida
authors.forename: Susumu
authors.initials: S
authors.lastname: Satomi
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D015415:Biomarkers / Q000097:blood; D001706:Biopsy; D002097:C-Reactive Protein / Q000032:analysis; D005355:Fibrosis; D006801:Humans; D007249:Inflammation / Q000175:diagnosis* / Q000276:immunology / Q000601:surgery; D018836:Inflammation Mediators / Q000097:blood; D007958:Leukocyte Count; D008297:Male; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000276:immunology / Q000473:pathology / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D015854:Up-Regulation; D058017:Vascular Grafting
chemical_list: D015415:Biomarkers; D018836:Inflammation Mediators; D002097:C-Reactive Protein