Popliteal amyloidoma presenting with leg ischemia in a chronic dialysis patient

Y Aoki1, K Kaneda, N Miyagi

  • 1Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.

Skeletal Radiology
|March 29, 2001
PubMed

Insights

Bilateral popliteal amyloidoma, a rare condition, can cause leg pain and claudication in patients on long-term hemodialysis. Surgical removal of these amyloid tumors can alleviate symptoms, improving patient mobility and quality of life.

Area of Science:

  • Vascular Surgery
  • Nephrology
  • Pathology

Background:

  • Amyloidoma is a rare localized deposition of amyloid.
  • Long-term hemodialysis is associated with various complications.
  • Popliteal artery and vein stenosis can lead to severe limb ischemia.

Observation:

  • A case of bilateral popliteal amyloidoma causing popliteal artery and vein stenosis is presented.
  • The patient had a 26-year history of hemodialysis.
  • Diagnosis was confirmed using MR angiography.

Findings:

  • Surgical resection of the right popliteal amyloid tumor was performed.
  • Histologic examination confirmed amyloid deposition.
  • Post-operative improvement in leg pain and intermittent claudication was observed.

Implications:

  • Popliteal amyloid tumors should be considered in hemodialysis patients with leg pain and claudication.
  • Early diagnosis and surgical intervention may improve outcomes.
  • This case highlights a potential complication of long-term hemodialysis.

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