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Popliteal artery and venous aneurysm as a complication of arthroscopic meniscectomy
F Jimenez1, A Utrilla, C Cuesta
1Division of Vascular Surgery and Angiology, Hospital Ramon y Cajal, Madrid, Spain.
Abstract:
A 29-year-old man presented a 2-week history of right popliteal fossa and leg swelling following an arthroscopic meniscectomy. Roentgenographic evaluation showed an arterial and venous aneurysm at the popliteal level, with an associated arteriovenous fistula. Popliteal aneurysm in young men is very rare and generally related to open surgical techniques; incidence with arthroscopic techniques is extremely infrequent.
Insights
A rare popliteal artery aneurysm and arteriovenous fistula developed in a young man after arthroscopic surgery. This complication is extremely infrequent with minimally invasive arthroscopic techniques.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Medical Imaging
Background:
- Arthroscopic meniscectomy is a common orthopedic procedure.
- Popliteal aneurysms are uncommon, particularly in young individuals.
- Arteriovenous fistulas can arise from trauma or surgical intervention.
Observation:
- A 29-year-old male presented with leg swelling post-arthroscopic meniscectomy.
- Imaging revealed a popliteal arterial and venous aneurysm.
- An arteriovenous fistula was also identified at the popliteal level.
Findings:
- The case demonstrates a rare complication of arthroscopic meniscectomy.
- Popliteal aneurysms are typically associated with open surgery, not arthroscopy.
- The incidence of popliteal aneurysms following arthroscopic procedures is exceptionally low.
Implications:
- Highlights the potential for rare vascular complications even with minimally invasive surgery.
- Suggests the need for vigilance in diagnosing vascular abnormalities post-arthroscopy.
- Emphasizes the importance of considering vascular etiologies in persistent leg swelling after knee surgery.