Cassar K, Engeset J
Vascular Unit, Aberdeen Royal Infirmary, Aberdeen AB24 2ZN, Scotland, UK.
Eur J Vasc Endovasc Surg. 2005 Jan;29(1):93-6. doi: 10.1016/j.ejvs.2004.09.006.
Cystic adventitial disease is an uncommon condition. A case of cystic adventitial disease of the popliteal artery is reported in a young man who has been followed up for 14 years after surgical treatment. Early recognition and treatment of the condition will prevent progression to popliteal thrombosis and critical ischaemia. However, diagnosis of the condition is difficult. Characteristic features in the presenting history, such as fluctuation in severity of symptoms, sudden onset after vigorous activity and delayed recovery time after cessation of exercise are identified, which should help the clinician avoid misdiagnosis and delayed diagnosis of the condition. The clinician is also warned of the associated misleading clinical features such as the presence of normal peripheral pulses and normal ankle pressures in some cases of CAD.
囊性外膜炎是一种罕见病症。本文报道了一例腘动脉囊性外膜炎病例，患者为一名年轻男性，手术治疗后随访了14年。对该病症的早期识别和治疗可预防进展为腘动脉血栓形成和严重缺血。然而，该病症的诊断较为困难。已确定了病史中的特征性表现，如症状严重程度波动、剧烈活动后突然发病以及运动停止后恢复时间延迟，这有助于临床医生避免对该病症的误诊和漏诊。还提醒临床医生注意相关的误导性临床特征，如在某些囊性外膜炎病例中存在正常的外周脉搏和正常的踝部血压。
