Yang Jinshou, Liu Peng, Xu Yingxin, You Yan, Di Xiao, Chen Yuexin
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Department of Vascular Surgery, The First Hospital of Hebei Medical University, Hebei Province, China.
Heliyon. 2025 Jan 10;11(2):e41873. doi: 10.1016/j.heliyon.2025.e41873. eCollection 2025 Jan 30.
Here, we report the case of a 30-year-old male who presented with acute right calf muscle pain. Computed tomography angiography revealed a popliteal artery aneurysm in the midsection. Popliteal fossa muscle tissue evaluation revealed that the popliteal artery aneurysm was located beneath an anomalous muscle bundle. Thus, the patient was diagnosed with type III popliteal artery entrapment syndrome and treated surgically. The patient was asymptomatic at rest and during physical activity 4 months after surgery with unobstructed bloodstream in the right popliteal artery. Popliteal artery entrapment syndrome should be considered in young male patients with popliteal artery pseudoaneurysms without atherosclerosis, hereditary diseases, or infections and treated surgically.
在此，我们报告一例30岁男性患者，其表现为右小腿急性肌肉疼痛。计算机断层血管造影显示腘动脉中段有一个动脉瘤。腘窝肌肉组织评估显示，腘动脉动脉瘤位于一条异常肌束下方。因此，该患者被诊断为III型腘动脉受压综合征并接受了手术治疗。术后4个月，患者在休息和进行体育活动时均无症状，右腘动脉血流通畅。对于没有动脉粥样硬化、遗传性疾病或感染的年轻男性腘动脉假性动脉瘤患者，应考虑腘动脉受压综合征并进行手术治疗。
