A Strange 'Collection' after Surgery for an Aneurysm of the Popliteal Artery
| Autor: | Paolo Criscenti, Gian Franco Veraldi, Luca Mezzetto, Marco Macrì, Roberta La Mendola, Albino Eccher |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Computed Tomography Angiography Popliteal fossa Biopsy medicine.medical_treatment 030204 cardiovascular system & hematology Prosthesis Design Revascularization Aortography Amputation Surgical Popliteal aneurysm Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery medicine Humans Popliteal Artery Polyethylene Terephthalates business.industry Sarcoma General Medicine Middle Aged medicine.disease Popliteal artery Blood Vessel Prosthesis Surgery Treatment Outcome medicine.anatomical_structure Amputation Positron-Emission Tomography 030220 oncology & carcinogenesis Etiology Radiology Neoplasm Grading Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery. 44:416.e9-416.e14 |
| ISSN: | 0890-5096 |
| DOI: | 10.1016/j.avsg.2017.05.022 |
| Popis: | The popliteal fossa is the site of several diseases that may be similar in the clinical setting but very different in etiology, treatment, and prognosis. The contemporary presentation of more than one of these conditions is a rare though potentially fatal combination that may lead to a delay in the diagnosis and therapeutic approach. In this report, we describe the case of a patient who presented at our Vascular Department for persistent pain and severe swelling of the right popliteal fossa 8 months after the surgical treatment of a symptomatic popliteal aneurysm by mean of a Dacron prosthetic graft. With the suspect of the graft infection, as defined by angio-computer tomography and fluorodeoxyglucose positron emission tomography, the patient underwent graft removal and revascularization with a biologic conduit. Subsequent surgical revisions for unjustified recurrent hematic collections were necessary without any significative clinical improvement. The histologic analysis of the removed tissue was consistent with a high-grade sarcoma, and the patient underwent above-the-knee amputation of the right limb. |
| Databáze: | OpenAIRE |
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