Popliteal aneurysm rupture in Bali Med Hospital, Indonesia: Case report and literature review

Abstract

Popliteal artery aneurysm (PAA) is a rare and difficult disease to learn. Popliteal artery is the most common site involved in peripheral aneurysms where the incidence is 80% of the peripheral aneurysm. Data regarding the PAA in Indonesia as well as a discussion of the PAA could not be found. A man aged 52 years old with a BMI of 24.22 came to the emergency room in a state of compost mentis complained of pain behind the knee on the right foot accompanied by swelling and redness pain is increasing when walking in the past three days ago. Edema extends proximally up to ½ to 2/3 distal medial thigh, touching warm, dorsalis pedis artery pulsation and popliteal arteries difficult to evaluate. Vein-artery ultrasound Doppler on right inferior extremity and found v. tibialis anterior-posterior and right dorsalis vein pedis give the impression of normal and lumen collapse when compressed. Examination D-Dimer shows the results of 4028 ng / mL (> 500ng / mL). Patients diagnosed with compartment syndrome accompanied popliteal hematoma with abscess and differential diagnosis of DVT. The incision hematoma, vascular urgent fasciotomy and exploration by opening the fascia was done, there were a visible and profuse bleeding, suspected to be derived from total rupture of the popliteal artery. After patient's conditions was stable Then a repair with open surgical repair in the form of femorotibial bypass surgery using vein graft performed. After the surgical procedure, patients experienced improvement in conditions.