Bilateral popliteal artery entrapment syndrome: reemphasis on reading axial tomograms
| Autor: | Tomohisa Hashimoto, Haruka Uezono, Satoshi Noma, Takanori Higashino, Akira Sano, Takuya Okada, Masaru Narabayashi, Takaki Maeda, Naoaki Kusunoki, Takanori Taniguchi, Yukihisa Tamaki |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty animal structures Popliteal fossa Arterial Occlusive Diseases Diagnosis Differential medicine.artery Occlusion medicine Humans Popliteal Artery Radiology Nuclear Medicine and imaging Vein Radiation medicine.diagnostic_test business.industry Angiography Digital Subtraction Magnetic resonance imaging Syndrome Popliteal artery entrapment syndrome Intermittent Claudication medicine.disease Magnetic Resonance Imaging Popliteal artery medicine.anatomical_structure Oncology Angiography Radiology medicine.symptom Tomography X-Ray Computed Claudication business |
| Zdroj: | Radiation Medicine. 25:548-552 |
| ISSN: | 1862-5274 0288-2043 |
| DOI: | 10.1007/s11604-007-0175-x |
| Popis: | A 33-year-old man with bilateral popliteal artery entrapment syndrome (PAES) presented with right calf claudication. He underwent radiological studies including conventional arteriography, multidetector row CT (MDCT), and magnetic resonance imaging (MRI) of the lower extremities. He had been fine since birth and athletic in his school days. Axial tomographic images by MDCT and MRI at the popliteal fossa bilaterally showed an anomalous medial head of the gastrocnemius muscle between the popliteal artery and vein, resulting in right popliteal artery occlusion and leading to the diagnosis of bilateral PAES type II. MDCT or MR facilitates noninvasive computer-aided arteriography and is often utilized for screening patients with claudication for peripheral arterial diseases. However, axial tomograms are more essential for confirming PAES than arteriography, and radiologists should continue to look for possible abnormalities on popliteal fossa tomograms because early diagnosis of PAES allows better choices and outcomes of treatment. |
| Databáze: | OpenAIRE |
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