Presentation
Unilateral calf claudication and lower extremity pain during exercise, such as walking.
Patient Data
Cystic lesions in the wall of the popliteal artery with resulting collapse of the lumen.
The MRA shows a short segmental occlusion of the P1-segment.
Multiple ganglion cysts in the popliteal fossa. A small tubular connection between the ganglion cysts and the adventitia of the popliteal artery can be seen in the axial PDfs.
Case Discussion
Cystic adventitial disease is a rare vascular condition with rapidly progressing claudication like symptoms.
A collection of mucinous material can be seen within the adventitial wall of the affected vessel.
This case nicely illustrates a tubular connection between the politeal ganglion cysts and the cystic adventitia, as suspected cause for the degeneration of the popliteal artery.
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