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Popliteal aneurysm as a cause of leg pain in a geriatric patient
1University Health Center, Glendale, Calif 91205, USA. rodkaufman@scuhs.edu
Objective:
To discuss the management of a patient with unilateral lower extremity pain as a consequence of a popliteal aneurysm.
Clinical Features:
An 85-year-old male had difficulty in ambulating due to low back and lower extremity pain. Standard tests demonstrated and reproduced pain at the lower back while inspection, palpation, and auscultation revealed a pulsatile mass in the popliteal fossa of the right knee.
Intervention And Outcome:
Specific joint manipulation for relief of low back pain was performed. Comanagement of the patient with a vascular surgeon and subsequent surgical intervention resulted in relief of lower extremity pain.
Conclusion:
Resolution of pain and guarded gait was accomplished by a multidisciplinary approach combining conservative care and invasive techniques.
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