Smits T M, van den Dungen J J, Koops H S, Mooyaart E L, Hoekstra H J
Academisch Ziekenhuis, Groningen.
Ned Tijdschr Geneeskd. 1998 Jul 25;142(30):1697-701.
A swelling in the distal thigh may be caused by a tumour of bone or soft tissues, an aneurysm or an inflammation. Signs of inflammation may render interpretation more difficult. Four males aged 60, 48, 15 and 81 years had had a swelling in the popliteal space or above the knee, in some cases with pain. Supplementary examinations, especially MRI scanning and arteriography did not always result in a diagnosis. The diagnosis could be made, however, during operation: an empyemic thrombosed popliteal artery aneurysm, a liposarcoma, pyomyositis and suture dehiscence of a plastic prosthesis of the popliteal artery. After treatment, consisting of or started during the operation, uneventful recovery occurred.
大腿远端肿胀可能由骨肿瘤、软组织肿瘤、动脉瘤或炎症引起。炎症迹象可能会使诊断更加困难。4名年龄分别为60岁、48岁、15岁和81岁的男性在腘窝间隙或膝盖上方出现肿胀，部分病例伴有疼痛。辅助检查，尤其是磁共振成像扫描和动脉造影并不总能得出诊断结果。然而，手术过程中可以做出诊断：脓性血栓性腘动脉瘤、脂肪肉瘤、脓性肌炎和腘动脉人工假体缝线裂开。经过手术中进行的或开始的治疗后，患者顺利康复。
