Adventitial cystic disease is a rare non-atherosclerotic vascular disease. We report a 36-year-old man with right intermittent claudication by adventitial cystic disease. computed tomography (CT) and magnetic resonance imaging (MRI) revealed an ovoid cystic mass compressing the right popliteal artery and causing severe stenosis of the lumen. Percutaneous aspiration was performed, which improved his symptoms. However, he complained of identical intermittent claudication two weeks later. Radiographic findings revealed that the cystic lesion had progressed rapidly. The cystic lesion was resected and the affected arterial segment was interposed. We consider that conventional surgical intervention remains the favored treatment option in the management of adventitial cystic disease.
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| http://dx.doi.org/10.3400/avd.cr.14-00097 | DOI Listing |
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Article Synopsis
- A 67-year-old woman experienced leg pain due to severe popliteal artery stenosis caused by a popliteal ganglion cyst.
- After opting out of vein bypass surgery, the patient was successfully treated with ultrasound-guided aspiration of the cyst, restoring normal blood flow.
- This case is notable as it is the first reported instance where ganglion cyst aspiration successfully relieved claudication caused by a compressed popliteal artery, highlighting a new treatment option for cystic adventitial disease.
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