Case Of Adventitial Cystic Disease Research Articles

Cystic adventitial disease of the popliteal artery

Cystic adventitial disease is a rare condition that usually affects the popliteal artery, and is a rare cause of non-atherosclerotic stenosis. It is most commonly found in young or middle-aged men with intermittent claudication. Herein we present a histologically proven case of cystic adventitial disease of the popliteal artery in a 53-year-old man. We describe the imaging findings on gray-scale, Doppler and triplex ultrasonography, computed tomography with 3D reconstruction and digital subtraction angiography.

マルチスライスCTが診断に有用であった膝窩動脈外膜嚢腫の 1 例

マルチスライスCTが診断に有用であった膝窩動脈外膜嚢腫の 1 例

Adventitial Cystic Disease of the Popliteal Vein: Report of a Case

Adventitial cystic disease (ACD), also known as cystic mucoid or myxomatous degeneration, is a rare vascular disease seen mainly in arteries. It is very unusual for these cystic masses to develop in a vein. We report the case of a 56-year-old woman with leg swelling caused by ACD arising in the popliteal vein. The swelling appeared after a long period of standing. Magnetic resonance imaging (MRI) showed a popliteal cystic mass and venography showed disrupted venous flow. We resected the cyst wall without venous reconstruction, after which venous blood flow normalized and her symptoms subsided. To our knowledge, this is only the third documented case of ACD arising in the popliteal vein. A misdiagnosis could easily have been made, since the mass was not obvious on physical examination and the only symptom was intermittent swelling. Thus, it is important to be aware of ACD as a possible diagnosis when examining patients with a swelling in the leg.

Bilateral Adventitial Cystic Disease of the Popliteal Artery: A Case Report

Adventitial cystic disease (ACD) of the popliteal artery is an uncommon vascular condition of unknown etiology. In the present case report, we describe a case of bilateral ACD of the popliteal artery in a 58-year-old male. To the best of our knowledge, this is the first case of bilateral ACD of the popliteal artery reported in the literature.

Adventitial Cystic Disease of the Left External Iliac Vein: A Case Report

Adventitial cystic disease (ACD) is a rare, but well-characterized vascular disease. It is most commonly seen in the popliteal artery, but it has also been reported in the venous system. The most commonly involved segment has been the common femoral vein; the disease resulted in luminal compromise and extremity swelling. We report here on a case of adventitial cystic disease of the left external iliac vein that was initially misdiagnosed as deep vein thrombosis in a 68-year-old man who presented with a painless swelling of his left leg.

Cystic Adventitial Disease: A Trap for the Unwary

Cystic adventitial disease is an uncommon condition. A case of cystic adventitial disease of the popliteal artery is reported in a young man who has been followed up for 14 years after surgical treatment. Early recognition and treatment of the condition will prevent progression to popliteal thrombosis and critical ischaemia. However, diagnosis of the condition is difficult. Characteristic features in the presenting history, such as fluctuation in severity of symptoms, sudden onset after vigorous activity and delayed recovery time after cessation of exercise are identified, which should help the clinician avoid misdiagnosis and delayed diagnosis of the condition. The clinician is also warned of the associated misleading clinical features such as the presence of normal peripheral pulses and normal ankle pressures in some cases of CAD.

Adventitial Cystic Disease of the Axillary Artery

Adventitial cystic disease (ACD) is an extremely rare cause of arterial and venous insufficiency, with only 317 reported cases in the world literature. These lesions have been previously described in the popliteal fossa, external iliac artery, and distal brachial, radial, and ulnar arteries as well as in the proximal saphenous vein at the ankle. We describe here the first reported case of this disease in a proximal vessel, the axillary artery. A 33-year-old man was evaluated for upper extremity arterial insufficiency and was diagnosed with ACD on the basis of physical examination and radiographic findings, which was confirmed by pathological assessment. The patient was treated by excision of the lesion and interposition vein bypass. As this represents the first case of ACD in the proximal vasculature, it demonstrates that these lesions can occur in axial blood vessels.

Cystic Adventitial Disease of the Popliteal Artery: An Illustrative Case and Literature Review

Lower extremity claudication most commonly results from atherosclerotic disease. Cystic adventitial disease of the popliteal artery is a rare entity that also manifests with symptoms of claudication. The disease usually occurs in otherwise healthy men without cardiovascular risk factors for atherosclerosis. Extrinsic compression of the arterial lumen leads to arterial insufficiency in these patients. A fairly typical case of cystic adventitial disease of the popliteal artery is reported and a review of the literature is presented.

Adventitial cystic disease: A unifying hypothesis

Purpose: Six cases of adventitial cystic disease were studied, and the existing theories of the aetiology of adventitial cystic disease were reviewed to present evidence in support of a variation of the developmental hypothesis that might explain the sites of occurrence of this rare condition. Methods: Cases of adventitial cystic disease were collected by interrogation of the records of a group of vascular surgeons in the Johannesburg area. After reviewing the relevant literature, the sites of occurrence of 323 cases of adventitial cystic disease were documented, and the theories of the formation of adventitial cystic disease were reviewed. The embryological origin of those vessels in which adventitial cystic disease occurs was investigated. Clinical cases were collected in private practice vascular referral centers. The clinical features, treatment, and subsequent course of six cases of adventitial cystic disease (four related to the popliteal artery, one in the femoral artery, and one in the radial artery) are included. Results: All cases of adventitial cystic disease reported have occurred in the nonaxial arteries, which form at a later stage than the axial vessels during limb differentiation and development. It is therefore postulated that during limb bud development cell rests derived from condensations of mesenchymal tissue destined to form the knee, hip, wrist, or ankle joints are incorporated into the nearby and adjacent nonaxial vessels during development of these vessels in the 15–22-week stage. These newly forming nonaxial vessels develop from vascular plexuses during the same stage of development, and in close proximity to the adjacent condensing joint structures. It is further postulated that these cell rests are then responsible for the formation of adventitial cystic disease later in life, when the mucoid material secreted results in a mass lesion within the arterial or venous wall. Conclusion: There is evidence supporting the hypothesis that adventitial cystic disease is a developmental condition occurring in the nonaxial blood vessels. (J Vasc Surg 1998;28:193-205.)

21.17 A case of cystic adventitial disease of the femoral artery

21.17 A case of cystic adventitial disease of the femoral artery

A CASE OF CYSTIC ADVENTITIAL DISEASE OF THE POPLITEAL ARTERY

A rare case of cystic adventitial disease of the popliteal artery in a 42-year-old man is reported. He was admitted to our hospital suffering from intermittent claudication. DSA showed a smooth extrinsic compression of the right popliteal artery. At operation, a cystic adventitial lesion of the right popliteal artery, measuring 2×3cm, was surgically removed. The postoperative course was uneventful and all symptoms disappeared.

Regarding "A case of cystic adventitial disease of the popliteal artery demonstrated by magnetic resonance imaging"

Regarding "A case of cystic adventitial disease of the popliteal artery demonstrated by magnetic resonance imaging"

A case of cystic adventitial disease of the popliteal artery demonstrated by magnetic resonance imaging

In a 45-year-old man, who was free of symptoms after a 312-month period of calf claudication, a diagnosis of cystic adventitial disease was confirmed by magnetic resonance imaging. At operation a 12 cm long intramural cyst of the popliteal artery, continuous with a cyst around a genicular arterial branch, was found. Total resection of the cyst and its branch was performed. We recommend computed tomography or magnetic resonance imaging as the diagnostic tools of first choice in young patients who are free of arteriosclerosis and who have episodes of intermittent claudication of the calf.

Case report: Adventitial cystic disease of the popliteal artery

A case of adventitial cystic disease of the popliteal artery is described and the subject reviewed. Now that radiologists will often follow arteriography with angioplasty or thrombolytic therapy, it is particularly important that this condition is recognised.

Summary of Cases of Adventitial Cystic Disease of the Popliteal Artery

Adventitial cystic disease of the popliteal artery is explored. The results of correspondence with authors reporting this condition are elaborated upon. This has provided an opportunity to discuss the history of the condition, the findings in 115 cases which have come to the attention of the Correspondence Office dealing with this entity, and the results of treatment. A discussion of the suspected etiology of the condition is presented. The condition remains one of unknown etiology which can be treated by cyst evacuation or aspiration when the popliteal artery is patent and which is best treated by arterial reconstruction when the artery is occluded. The results of such treatment are good but are dependent upon technical excellence of the operative procedure.