Ibrahim Georges, Nabhani Sami, Feghaly Michel, Baaklini Georges
Division of Vascular Surgery, Saint Georges Hospital, University Medical Center, Ashrafieh, Beirut, Lebanon.
Case Rep Vasc Med. 2021 Mar 10;2021:8863682. doi: 10.1155/2021/8863682. eCollection 2021.
Spontaneous resolution of cystic adventitial disease (CAD) is rare with occasional reports in the literature. In this case report, we are describing a 30-year-old man who presented with rapid onset of severe intermittent claudication and was diagnosed with CAD. Resection of the lesion with autologous vein replacement was scheduled. However, the claudication suddenly improved at 4 weeks after onset. Ultrasonography and computed tomography revealed regression of the cystic lesions with resolution of the popliteal artery stenosis. His symptoms did not recur during the 12-month follow-up period. Although it is unclear whether this resolution is permanent, in this report, we describe our experience with a case of CAD that eventually spontaneously regressed and the possibility of conservative treatment.
囊性外膜疾病（CAD）的自发缓解很少见，文献中仅有零星报道。在本病例报告中，我们描述了一名30岁男性，他因严重间歇性跛行迅速发作前来就诊，被诊断为CAD。计划采用自体静脉置换术切除病变。然而，发病4周后跛行症状突然改善。超声检查和计算机断层扫描显示囊性病变消退，腘动脉狭窄解除。在12个月的随访期内，他的症状未复发。虽然尚不清楚这种缓解是否会持续，但在本报告中，我们描述了一例CAD最终自发消退的病例经验以及保守治疗的可能性。
