[Cystic disease of right popliteal artery with spontaneous resolution]

A Furunaga1, N Zempo, N Akiyama

  • 1First Department of Surgery, School of Medicine, Yamaguchi University, Ube, Japan.

Nihon Geka Gakkai Zasshi
|December 1, 1992
PubMed

Insights

A rare case of adventitial cystic disease causing intermittent claudication in a 50-year-old man resolved spontaneously. Imaging confirmed the popliteal adventitial cyst decreased in size without recurrence.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Medical Case Reports

Background:

  • Adventitial cystic disease is a rare condition causing arterial stenosis.
  • Popliteal artery involvement can lead to critical limb ischemia and intermittent claudication.

Observation:

  • A 50-year-old male presented with intermittent claudication due to right popliteal artery stenosis.
  • Imaging (DSA and CT) suggested compression by a tumor-like lesion, consistent with adventitial cystic disease.

Findings:

  • The patient experienced symptom resolution within three weeks.
  • Follow-up imaging demonstrated spontaneous decrease in the size of the popliteal adventitial cyst.
  • No recurrence of the adventitial cystic disease was observed.

Implications:

  • This case highlights the potential for spontaneous regression of adventitial cystic disease.
  • Conservative management and observation may be considered in select cases of popliteal adventitial cysts.
  • Further research into the natural history and management of this rare condition is warranted.

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