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Related Experiment Videos

Popliteal cysts: presentation as thrombophlebitis.

H A Swett, R B Jaffe, E B McIff

    Radiology
    |June 1, 1975
    PubMed
    Summary
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    Popliteal cysts, often linked to rheumatoid arthritis or meniscal tears, can mimic thrombophlebitis by compressing the popliteal vein. Ultrasonography is effective for diagnosing these popliteal cysts, distinguishing them from actual thrombophlebitis.

    Area of Science:

    • Orthopedics
    • Radiology
    • Vascular Surgery

    Background:

    • Popliteal cysts can present with symptoms mimicking deep vein thrombosis (DVT).
    • Rheumatoid arthritis and meniscal tears are common associations with popliteal cysts.
    • Compression of the popliteal vein by these cysts can lead to erroneous thrombophlebitis diagnoses.

    Purpose of the Study:

    • To highlight the diagnostic challenges posed by popliteal cysts.
    • To emphasize the role of imaging in differentiating popliteal cysts from thrombophlebitis.
    • To present cases illustrating the features of popliteal cysts causing venous compression.

    Main Methods:

    • Review of four clinical cases with popliteal cysts.
    • Initial diagnostic imaging often includes venography due to suspected thrombophlebitis.

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  • Diagnostic confirmation utilizing B-mode ultrasonography and arthrography.

    • Main Results:

    • Venography may show extrinsic compression of the popliteal vein, suggesting an extrinsic mass.
    • B-mode ultrasonography accurately identifies the popliteal cyst.
    • Arthrography can further confirm the diagnosis if needed.

    Conclusions:

    • Popliteal cysts can clinically mimic thrombophlebitis.
    • Ultrasonography is a reliable and accessible tool for diagnosing popliteal cysts.
    • Accurate diagnosis with ultrasonography prevents unnecessary treatment for thrombophlebitis.