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Intermittent claudication caused by a hip joint ganglion
F Stanek1, R Ouhrabkova, H Hejdova
1Department of Radiology, Hospital Kladno, Kladno, Czech Republic. stanek.f@tiscali.cz
VASA. Zeitschrift Fur Gefasskrankheiten
|November 21, 2007
Summary
A rare case of hip joint ganglion causing external iliac artery compression and peripheral arterial disease symptoms is presented. Surgical removal of the ganglion and arterial reconstruction led to a full recovery, with no recurrence after 30 months.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Case Reports
Background:
- Peripheral arterial disease (PAD) can manifest with symptoms like intermittent claudication.
- External iliac artery occlusion is a significant cause of lower limb ischemia.
Observation:
- A 27-year-old woman presented with progressive left thigh and calf claudication.
- Angiography revealed an unusual short occlusion of the external iliac artery.
- Surgical exploration identified a hip joint ganglion compressing the artery.
Findings:
- The ganglion, originating from the hip joint, adhered to and compressed the external iliac artery.
- Surgical resection of the ganglion and arterial reconstruction with a venous graft (great saphenous vein) were performed.
- The patient remained symptom-free for 30 months post-operatively.
Implications:
- This case highlights an unprecedented cause of external iliac artery compression by a hip joint ganglion.
- It underscores the importance of considering rare etiologies in compressive syndromes affecting major arteries.
- Successful surgical management demonstrates the efficacy of ganglion resection and vascular reconstruction for this condition.
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