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Popliteal artery entrapment syndrome: specific aspect
V Alexandrescu1, J C Orban, K Zurawska
1Departement of Surgery, St-Jean Hospital, Brussels, Belgium.
Acta Chirurgica Belgica
|December 3, 1999
Summary
Popliteal artery entrapment syndrome (PAES) can cause sudden leg pain. A CT scan aided diagnosis in a 63-year-old man, with surgery being the recommended treatment.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Medical Case Reports
Background:
- Popliteal artery entrapment syndrome (PAES) is a rare condition causing lower limb ischemia.
- It typically affects younger individuals, making this case atypical.
- Sudden onset of severe claudication prompted investigation.
Observation:
- A 63-year-old non-smoking male presented with acute, severe lower limb claudication.
- Standard diagnostic tools like arteriography and arterial Doppler were inconclusive.
- Computed Tomography (CT) scan proved crucial for identifying the arterial anomaly.
Findings:
- The CT scan revealed an embryologic type of arterial stenosis.
- The patient's advanced age at symptom onset was unusual for PAES.
- Abrupt ischemic symptoms were a key clinical feature.
Implications:
- This case highlights the diagnostic utility of CT scans in complex vascular cases.
- It underscores that PAES can present atypically in older patients.
- Surgical intervention remains the primary therapeutic approach for symptomatic PAES.