Aplastic posterior tibial arteries

Case contributed by Hasan Hussein Hasan Almaiah
Diagnosis certain


Erectile dysfunction.

Patient Data

Age: 50 years
Gender: Male

Both posterior tibial arteries are not visualized (congenitally absent), with hypertrophied peroneal arteries, which course medially behind the medial malleoli, then continue as lateral plantar arteries.

Multiple varicose veins are noted throughout both lower limbs.

Right-sided Baker cyst is noted.

Case Discussion

Features are suggestive of aplastic posterior tibial arteries, which is a rare variant of the lower limb arterial system.

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