A case of a popliteal aneurysm presenting as a deep vein thrombosis of the lower extremity is reported. Venous insufficiency symptoms, like presenting symptoms of a popliteal artery aneurysm, are an uncommon occurrence but often cause a wrong or delayed diagnosis with severe consequences for limb salvage. The importance of an accurate diagnostic study in any patient with a suspected deep vein thrombosis is emphasized in this report.
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References
1.
Anton GE, Hertzer NR, Beven EG, et al: Surgical management of popliteal aneurysms. J Vasc Surg3:125-134, 1986.
2.
Bouhoutsos J. , Martin P.: Popliteal aneurysms: A review of 116 cases . Br J Surg61:469-475, 1974.
3.
Inahara T., Toledo AC: Complications and treatment of popliteal aneurysms. Surgery84:775-783, 1978.
4.
Reilly M., Abbott WM, Darling RC: Aggressive surgical management of popliteal artery aneurysms. Am J Surg145:498-502, 1983.
5.
Vermillion BD , Kimmins S., Pace W., et al: A review of one hundred forty-seven popliteal aneurysms with long-term follow-up. Surgery90:1009-1014, 1981.
6.
Whitehouse WM Jr Wakefield TW, Graham LM, et al: Limb-threatening potential of arteriosclerotic popliteal artery aneurysms. Surgery93:694-699, 1983.
7.
Hardy JD, Tomkins WC Jr, Hatten LE, et al: Aneurysms of the popliteal artery. Surg Gynecol Obstet140:401-404, 1975.
8.
Cole CW, Thijssen AM, Barber GG, et al: Popliteal aneurysms: An index of generalized vascular disease . Can J Surg32:65-68, 1989.
9.
Lilly MP, Flinn WR, McCarthy WJ III, et al: The effect of distal arterial anatomy on the success of popliteal aneurysm repair. J Vasc Surg7:653-660, 1988.
10.
Melliere D. , Veit R., Becquemin JP, et al: Should all spontaneous aneurysms be operated on?J Cardiovasc Surg27:273-277, 1986.
11.
Staelens I. , van der Stricht J.: Stase veineuse par compression extrinseque de la region poplitee. Phlebologie41:41-46, 1988.
12.
Sciacca V., di Marzo L., Mingoli A. et al: Patologia del circolo venoso profondo: il cavo popliteo—il pun-to di vista del chirurgo. In: La Flebografia quando e perche ',ed. by Fiorani P, Pistolese GR, Simonetti G.Rome: Delfino Ed., in press.
13.
Walsh JJ, Williams LA, Driscoll JL, et al: Vein compression by arterial aneurysms. J Vasc Surg8:465-469, 1988.
14.
Harris AM, Barrie WW: Deep venous thrombosis: A misdiagnosis of popliteal aneurysm. Br J Hosp Med39:535, 1988.
15.
Raptis S., Ferguson L., Miller JH: The significance of tibial artery disease in the management of popliteal aneurysms . J Cardiovasc Surg27:703-710, 1986.
16.
Farina C., Cavallaro A., Schultz RD, et al: Popliteal aneurysms. Surg Gynecol Obstet169:7-13, 1989,
17.
Downing R., Grimley RR, Ashton F., et al: Problems in diagnosis of popliteal aneurysm. J R Soc Med78:440-444, 1985.
18.
Scott WW Jr , Scott PP , Sanders RC: B-Scan ultrasound in the diagnosis of popliteal aneurysms. Surgery81:436-441, 1977.
