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Giant popliteal aneurysm presenting with foot drop.
Arul Selvam1, Kunal Shetty, Nirmal V James
1General Surgery, West Wales General Hospital, Carmarthen, United Kingdom.
Journal of Vascular Surgery
|October 3, 2006
Summary
This case report details an exceptionally large popliteal artery aneurysm (10 cm) presenting unusually as swelling and foot drop. This finding highlights rare popliteal artery aneurysm presentations and management.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Medical Case Reports
Background:
- Popliteal artery aneurysms are the most common peripheral aneurysms, predominantly affecting older men with cardiovascular disease.
- Typical presentations include intermittent claudication, distal embolization, or, rarely, rupture.
- Asymptomatic cases are also common, underscoring the need for vigilant diagnosis.
Observation:
- A 10 cm popliteal artery aneurysm, the largest reported, was observed in a patient.
- The aneurysm presented as a popliteal swelling causing foot drop.
- Notably, the patient showed no signs of limb ischemia, an atypical symptom profile.
Findings:
- The diagnostic workup confirmed the large popliteal artery aneurysm.
- The patient's presentation with foot drop and swelling, without limb ischemia, is unusual for popliteal artery aneurysms.
- Literature review confirmed this as the largest reported popliteal artery aneurysm.
Implications:
- This case expands the understanding of popliteal artery aneurysm presentations.
- It emphasizes the importance of considering popliteal artery aneurysms in patients with unexplained swelling and neurological deficits.
- The case highlights the need for tailored diagnostic and treatment strategies for rare, large popliteal artery aneurysms.
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