A giant thrombotic popliteal aneurysm with concomitant entrapment neuropathy and critical limb ischemia
Abstract
SUMMARY
Popliteal artery aneurysms are relatively common among all peripheral aneurysms. Nevertheless development of entrapment neuropathy or critical limb ischemia due to a popliteal aneurysm is extremely rare. Peripheral nerves such as tibial and common peroneal nerves are more frequently exposed to chronic compression due to settlement with a narrow anatomic volume and neighborhood with a joint. Herein we present a case of a thrombotic popliteal aneurysm causing entrapment neuropathy and critical limb ischemia
Keywords: Popliteal artery aneurysm, entrapment neuropathy, limb ischemia
ÖZET
Popliteal arter anevrizmaları periferal arter anevrizmaları içinde nispeten yaygın olarak gözlenmektedir. Bununla birlikte popliteal anevrizmaya bağlı olarak tuzak nöropati veya kritik ekstremite iskemisi gözlenmesi oldukça nadiridir. Tibial ve common peroneal sinirler periferik sinirler arasında daha dar bir anatomik bölgede yerleşmiş olmaları ve eklem komşulukları nedeni ile kronik basıya daha sıkılıkla maruz kalırlar. Biz burada tuzak nöropatisi ve kritik ekstremite iskemisine neden olan bir tromboze popliteal anevrizma olgusunu sunuyoruz.
Anahtar sözcükler: Popliteal arter anevrizması, tuzak nöropati, ekstremite iskemisi.
References
- 1. Aulivola B, Hamdan AD, Hile CN, Sheahan MG, Skillman JJ, Campbell DR. Popliteal artery aneurysms: A comparison of outcomes in elective versus emergent repair. J Vasc Surg 2004; 39: 1171-7.
- 2. Sarcina A, Bellosta R, Luzzani L, Agrifoglio G.Surgical treatment of popliteal artery aneurysm. A 20 year experience. J Cardiovasc Surg 1997; 38: 347-54.
- 3. Segal R, Machiraju U, Larkins M. Tortuous peripheral arteries: A cause of focal neuropathy. Case report. J Neurosurg 1992; 76: 701- 4.
- 4. Donovan A, Rosenberg ZS, Cavalcanti CF. MR Imaging of entrapment neuropathies of the 5. lower extremity. RadioGraphics 2010; 30: 1001-9.
- 6. Bajardi G, Pecoraro F, Vitale G, La Rosa G, Bellisi M, Bracale UM. A popliteal artery aneurysm presenting with ab extrinseco popliteal vein occlusion and compartment syndrome: A case report. Ann Ital Chir 2012; 83: 441-4.
- 7. Ersozlu S, Ozulku M, Yildirim E, Tandogan R. Common peroneal nerve palsy from an untreated popliteal pseudoaneurysm after penetrating injury J Vasc Surg 2007; 45: 408-10.
- 8. Beaudry Y, Stewart JD, Errett L. Distal sciatic nerve compression by a popliteal artery aneurysm. Can J Neurol Sci 1989; 16: 352-3.
- 9. Logigian EL, Berger AR, Shahani BT. Injury to the tibial and peroneal nerves due to hemorrhage in the popliteal fossa. Two case reports. J Bone Joint Surg Am 1989; 71: 768-70.
Abstract
Popliteal arter anevrizmaları periferal arter anevrizmaları içinde nispeten yaygın olarak gözlenmektedir. Bununla birlikte popliteal anevrizmaya bağlı olarak tuzak nöropati veya kritik ekstremite iskemisi gözlenmesi oldukça nadiridir. Tibial ve common peroneal sinirler periferik sinirler arasında daha dar bir anatomik bölgede yerleşmiş olmaları ve eklem komşulukları nedeni ile kronik basıya daha sıkılıkla maruz kalırlar. Biz burada tuzak nöropatisi ve kritik ekstremite iskemisine neden olan bir tromboze popliteal anevrizma olgusunu sunuyoruz
References
- 1. Aulivola B, Hamdan AD, Hile CN, Sheahan MG, Skillman JJ, Campbell DR. Popliteal artery aneurysms: A comparison of outcomes in elective versus emergent repair. J Vasc Surg 2004; 39: 1171-7.
- 2. Sarcina A, Bellosta R, Luzzani L, Agrifoglio G.Surgical treatment of popliteal artery aneurysm. A 20 year experience. J Cardiovasc Surg 1997; 38: 347-54.
- 3. Segal R, Machiraju U, Larkins M. Tortuous peripheral arteries: A cause of focal neuropathy. Case report. J Neurosurg 1992; 76: 701- 4.
- 4. Donovan A, Rosenberg ZS, Cavalcanti CF. MR Imaging of entrapment neuropathies of the 5. lower extremity. RadioGraphics 2010; 30: 1001-9.
- 6. Bajardi G, Pecoraro F, Vitale G, La Rosa G, Bellisi M, Bracale UM. A popliteal artery aneurysm presenting with ab extrinseco popliteal vein occlusion and compartment syndrome: A case report. Ann Ital Chir 2012; 83: 441-4.
- 7. Ersozlu S, Ozulku M, Yildirim E, Tandogan R. Common peroneal nerve palsy from an untreated popliteal pseudoaneurysm after penetrating injury J Vasc Surg 2007; 45: 408-10.
- 8. Beaudry Y, Stewart JD, Errett L. Distal sciatic nerve compression by a popliteal artery aneurysm. Can J Neurol Sci 1989; 16: 352-3.
- 9. Logigian EL, Berger AR, Shahani BT. Injury to the tibial and peroneal nerves due to hemorrhage in the popliteal fossa. Two case reports. J Bone Joint Surg Am 1989; 71: 768-70.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 27, 2015 |
| Published in Issue | Year 2015 |