Open AccessGiant popliteal aneurysm with deep vein thrombosis, foot drop and arteriomegali
Author(s) -
Tuğrul Göncü,
Osman Tiryakioğlu,
Mustafa Sezen,
Şenol Yavuz
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.11.2008.1248
Subject(s) - medicine , popliteal artery , popliteal vein , foot drop , aneurysm , radiology , asymptomatic , thrombosis , surgery , abdominal aortic aneurysm , claudication , intermittent claudication , popliteal fossa , deep vein , vascular disease , arterial disease
Popliteal artery aneurysms are the most common peripheral arterial aneurysms and are the second most common aneurysm after abdominal aortic aneurysms. Popliteal artery aneurysm affects mostly elderly men and atherosclerosis plays the major role in the aetiology of the disease. The management of popliteal artery aneurysms requires great care. Popliteal aneurysms are asymptomatic or otherwise present with intermittent claudication, compression symptoms in the popliteal fossa, distal embolisation and, rarely, rupture. We present a patient with a remarkably large popliteal aneurysm of 8×11 cm presenting as a popliteal swelling with foot drop and deep vein thrombosis and limb ischaemia. According to our thorough search of literature printed in English, it is one of the largest reported popliteal aneurysms with arteriomegaly, and its co-existing symptoms are unusual. The diagnostic investigations and treatment are presented.