Cholot M, Rousseau H, Aziza R, Ferro P, Elias A, Otal P, Joffre F
Service de Radiologie centrale, CHU de Rangueil, Toulouse.
J Radiol. 1996 Mar;77(3):201-4.
Adventitial cystic disease of the popliteal artery is a rare cause of calf claudication in young patients. A case explored by magnetic resonance imaging is reported: a water rich mass around the popliteal artery compressed the arterial lumen. Treatment consisted in CT-guided percutaneous aspiration. Good functional outcome except for severe efforts, despite persistance of cystic images was observed. Echography, computed tomography or magnetic resonance imaging are more useful to establish the diagnosis than arteriography because these techniques can directly visualize the arterial wall. Percutaneous treatment preserves the intima and can be performed in out-patients. When feasible, it could be preferred to conventional surgery.
腘动脉外膜囊肿性疾病是年轻患者小腿间歇性跛行的罕见病因。本文报告了1例经磁共振成像检查的病例:腘动脉周围富含液体的肿块压迫动脉管腔。治疗方法为CT引导下经皮抽吸术。尽管囊肿影像持续存在,但除剧烈运动外,患者功能恢复良好。超声、计算机断层扫描或磁共振成像在诊断方面比动脉造影更有用,因为这些技术可以直接观察动脉壁。经皮治疗可保留内膜,且可在门诊进行。在可行的情况下,它可能比传统手术更可取。