Adventitial cystic disease is a rare nonatheromatous cause of popliteal artery disease. Here, we present a case of a 51-year-old male patient who presented with right calf claudication caused by adventitial cystic disease. Preoperative magnetic resonance imaging and intraoperative findings revealed the presence of a connection between the cyst and adjacent knee joint. In addition, histopathological examination revealed that the tissue structure of the connection was similar to that of adventitial cysts. The tissue composed of 2 types of cells, namely macrophages and fibroblast-like cells, and lesional cells expressed D2-40. These findings supported the ganglion theory as the underlying physiopathology of this disease and were helpful in deciding the management of this case.
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| http://dx.doi.org/10.1016/j.avsg.2017.04.034 | 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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