di Marzo L, Peetz D J, Bewtra C, Schultz R D, Feldhaus R J, Anthone G
Surgery. 1987 May;101(5):587-93.
A case of cystic adventitial degeneration of the left common femoral artery in a patient with localized left groin pain, normal distal pulses, and normal arteriographic findings is reported. This patient was first treated with evacuation and cyst excision. Recurrence was noted after 20 months, and an excision of the cyst and a segment of the common femoral artery with graft interposition was required. At gross examination, the cyst was unilocular and contained gelatinous material. The cyst appeared to be situated in the tunica adventitia and did not communicate with the vascular lumen. No synovial lining was present. Histologically, it was similar to a ganglion cyst with contents rich in hyaluronic acid. A review of the literature was undertaken to determine the results of treating this lesion. The disease is rare. All senior authors of case reports were contacted to construct follow-up information. A high incidence of recurrence was noted in patients treated by evacuation and cyst excision. We believe that total cyst excision with the involved artery and graft interposition at the femoral site can be done easily, safely, and with virtually no chance for recurrence.
报告了一例左股总动脉囊性外膜退变患者，该患者左腹股沟局部疼痛，远端脉搏正常，动脉造影结果正常。该患者最初接受了囊肿引流和切除治疗。20个月后复发，需要切除囊肿及一段股总动脉并进行血管移植。大体检查时，囊肿为单房性，内含胶冻样物质。囊肿似乎位于外膜，与血管腔不相通。无滑膜衬里。组织学上，其类似于腱鞘囊肿，内容物富含透明质酸。对文献进行了回顾以确定治疗该病变的结果。该疾病罕见。联系了所有病例报告的资深作者以构建随访信息。在接受囊肿引流和切除治疗的患者中，复发率较高。我们认为，在股部部位完整切除囊肿及受累动脉并进行血管移植操作简便、安全，且几乎没有复发的可能。
