Ruptured Popliteal artery aneurysm - A rare entity yet a great mimic

J. H. Lai, S. Lenny, K. Krishna, Mohamad Azim Md Idris, Hanafiah Haruna Rashid

Research output: Contribution to journalArticle

Abstract

Popliteal artery aneurysm is rare, even rarer is a ruptured one. A 75-year-old man had painful swelling of left leg. Several days before the symptoms onset, he had left foot gouty attack rendering him relatively immobile. On examination, he was pale but hemodynam-ically stable. The leg was tender, warm and edematous. Doppler signals of lower limb arteries were present. With the initial impression of deep vein thrombosis, duplex ultrasound was performed which surprisingly suggested a popliteal pseudoaneurysm. Subsequently, computed tomography angiography revealed a ruptured left and a concomitant unruptured right popliteal artery aneurysm. Emergency exploration and ligation of the aneurysm was done followed by saphenous vein bypass graft of superficial femoral to be-low-knee popliteal artery. The manifestations of a ruptured popliteal aneurysm are relatively nonspecific. It can mimic various common diseases notably deep vein thrombosis. A high index of suspicion is needed.

Original languageEnglish
Pages (from-to)179-181
Number of pages3
JournalSurgical Chronicles
Volume23
Issue number3
Publication statusPublished - 1 Jan 2018

Fingerprint

Popliteal Artery
Aneurysm
Venous Thrombosis
Leg
Ruptured Aneurysm
False Aneurysm
Saphenous Vein
Thigh
Ligation
Foot
Lower Extremity
Knee
Emergencies
Arteries
Transplants

Keywords

  • Deep vein thrombosis
  • Ruptured popliteal artery aneurysm

ASJC Scopus subject areas

  • Surgery

Cite this

Ruptured Popliteal artery aneurysm - A rare entity yet a great mimic. / Lai, J. H.; Lenny, S.; Krishna, K.; Md Idris, Mohamad Azim; Haruna Rashid, Hanafiah.

In: Surgical Chronicles, Vol. 23, No. 3, 01.01.2018, p. 179-181.

Research output: Contribution to journalArticle

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