Cystic Adventitial Disease of the Common Femoral Artery: A Rare-Case Report

Qilong Wang,Qi Wang,Zhihua Cheng,Ping Zhang,Liang Tang,Hua Zhang

doi:10.3389/fsurg.2021.814036

Abstract

Herein, we report the case of a 59-year-old man with intermittent claudication of ~100 m, who complained of resting pain in his lower right extremity. A pelvic, contrast-enhanced, computed tomography scan showed the presence of cystic density in the lower segment of the right common femoral artery. Faced with the risk of acute limb ischemia, we navigated a challenging diagnostic procedure to choose an appropriate treatment for him. Additionally, we performed a pathological investigation of the excised common femoral artery following the excision bypass. On postoperative day 5, the patient was discharged from the hospital. During the 2-year follow-up, no new cysts were discovered, and the patient had favorable prognosis.

Highlights

Cystic adventitial disease (CAD) of the common femoral artery is a rare vascular disorder [1] that is potentially limb-threatening
Alkins and Key published the first case of CAD in 1947 [3]
Duplex ultrasonography can provide an accurate basis for these differential diagnoses

Summary

INTRODUCTION

Cystic adventitial disease (CAD) of the common femoral artery is a rare vascular disorder [1] that is potentially limb-threatening. We present a case that we believe is unique, as the patient’s common femoral artery was nearly completely blocked In this patient, arterial thrombosis rapidly produced acute limb ischemia with no distinguishing clinical signs equivalent to arterial embolism. We present a unique instance of CAD of the common femoral artery, details on the therapeutic options for this patient, and an analysis of surgical treatment results. A 59-year-old man, with intermittent claudication of ∼100 m, complained of resting pain in his lower right extremity As his symptoms deteriorated, he was immediately transferred to our institution for further investigations for an accurate diagnosis and surgical treatment. Following surgical excision of the diseased blood vessel, we decided to perform autologous saphenous vein reconstruction. The patient was urged to return for a 6-month check-up

DISCUSSION

CONCLUSION

ETHICS STATEMENT