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Ruptured popliteal artery aneurysm: a case report.
Shane S Parmer1, Christopher L Skelly, Jeffrey P Carpenter
1Division of Vascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, 19104, USA. parmers@uphs.upenn.edu
Vascular and Endovascular Surgery
|February 4, 2006
Summary
A high index of suspicion for popliteal aneurysms is crucial, especially when a popliteal mass lacks a pulse due to chronic thrombosis. Early diagnosis and treatment of these aneurysms are vital for patient outcomes.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Medical Case Reports
Background:
- Popliteal aneurysms often present as pulsatile masses.
- Chronic thrombosis can mask the pulsatile nature of popliteal aneurysms, complicating diagnosis.
- A high index of suspicion is necessary for accurate evaluation of popliteal masses.
Observation:
- An 83-year-old man presented with a large popliteal mass initially misdiagnosed.
- The mass was subsequently identified as a popliteal aneurysm with chronic thrombosis.
- The absence of a pulse in the affected limb was a key diagnostic challenge.
Findings:
- Popliteal aneurysms with chronic thrombosis require careful diagnostic consideration.
- Decompression and ligation of feeding vessels are effective treatments when collateral flow is adequate.
- Biopsy can be a diagnostic step, but misdiagnosis is possible.
Implications:
- Lifelong surveillance is essential for patients treated for popliteal aneurysms.
- Associated aneurysms may develop in other locations, necessitating ongoing monitoring.
- Improved diagnostic strategies for non-pulsatile popliteal masses are warranted.
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