Problems in Diagnosis of Popliteal Aneurysms
| Autor: | G Slaney, R P Grimley, F Ashton, R Downing |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Femoral artery 030204 cardiovascular system & hematology Palpation Popliteal aneurysm 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery medicine Humans Popliteal Artery Aorta Abdominal cardiovascular diseases 030212 general & internal medicine Diagnostic Errors Referral and Consultation Aged Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Intermittent claudication Popliteal artery Surgery Femoral Artery Amputation cardiovascular system Female Radiology medicine.symptom business Research Article |
| Zdroj: | Journal of the Royal Society of Medicine. 78:440-444 |
| ISSN: | 1758-1095 0141-0768 |
| DOI: | 10.1177/014107688507800604 |
| Popis: | Clinical features and errors in diagnosis have been assessed in a retrospective study of 62 popliteal aneurysms in 40 patients, 22 of whom had bilateral aneurysms. Only 29% of patients complained of pain or swelling behind the knee, while 31% of aneurysms had produced distal ischaemia presenting as intermittent claudication, 9 aneurysms had thrombosed producing ischaemic rest pain in 6 legs, and 4 aneurysms had ruptured. Although 94% of aneurysms were suspected or confidently diagnosed by palpation alone, only 43% of patients had had the correct diagnosis made at the time of initial referral. Treatment was delayed in 12 patients, 8 of whom subsequently required amputation. Popliteal aneurysm should be suspected in patients with a prominent popliteal pulse who present with intermittent claudication, and in patients with acute ischaemia of the leg who may have a thrombosed aneurysm requiring surgical exploration. |
| Databáze: | OpenAIRE |
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