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Published on: June 29, 2013
Popliteal amyloidoma presenting with leg ischemia in a chronic dialysis patient
1Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Abstract:
The authors report a case of bilateral popliteal amyloidoma causing stenosis of the popliteal artery and vein. This patient had been treated with hemodialysis for 26 years. The diagnosis was made with MR angiography. A popliteal tumor of the right knee was resected surgically and the histologic examination showed deposition of amyloid. After resecting the popliteal tumor, the severe leg pain and intermittent claudication improved. This report suggests that popliteal amyloid tumors should be considered in a patient undergoing long-term hemodialysis who complains of leg pain and intermittent claudication.
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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