Karelis Angelos, Fransson Torbjörn, Schlyter Mac, Butt Talha, Dias Nuno
Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University Hospital, Malmö, Sweden.
Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
J Vasc Surg Cases Innov Tech. 2023 Mar 31;9(2):101171. doi: 10.1016/j.jvscit.2023.101171. eCollection 2023 Jun.
We report the case of a 63-year-old man who presented with a 2-week complaint of lower extremity pain, swelling, and low-grade fever after an episode of septic arthritis in the ipsilateral knee. The investigation showed a rapidly expanding popliteal artery aneurysm (PAA). The rare clinical entity of an infective PAA was suspected and was confirmed by the cultures obtained at the right femoropopliteal bypass with an autologous vein graft and subtotal resection of the aneurysm sac. was identified as the primary pathogen, which, to the best of our knowledge, has not been previously described for an infective PAA.
我们报告了一例63岁男性病例,该患者在同侧膝关节发生化脓性关节炎后,出现了为期2周的下肢疼痛、肿胀和低热症状。检查发现腘动脉动脉瘤(PAA)迅速扩大。怀疑为感染性PAA这种罕见的临床病症,并通过在右股腘动脉旁路移植自体静脉并对动脉瘤囊进行次全切除时所获得的培养物得以证实。 被确定为主要病原体,据我们所知,此前尚未有关于感染性PAA的相关描述。