Document Detail


Bilateral popliteal artery entrapment syndrome: reemphasis on reading axial tomograms.
MedLine Citation:
PMID:  18085407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 33-year-old man with bilateral popliteal artery entrapment syndrome (PAES) presented with right calf claudication. He underwent radiological studies including conventional arteriography, multidetector row CT (MDCT), and magnetic resonance imaging (MRI) of the lower extremities. He had been fine since birth and athletic in his school days. Axial tomographic images by MDCT and MRI at the popliteal fossa bilaterally showed an anomalous medial head of the gastrocnemius muscle between the popliteal artery and vein, resulting in right popliteal artery occlusion and leading to the diagnosis of bilateral PAES type II. MDCT or MR facilitates noninvasive computer-aided arteriography and is often utilized for screening patients with claudication for peripheral arterial diseases. However, axial tomograms are more essential for confirming PAES than arteriography, and radiologists should continue to look for possible abnormalities on popliteal fossa tomograms because early diagnosis of PAES allows better choices and outcomes of treatment.
Authors:
Yukihisa Tamaki; Akira Sano; Takuya Okada; Masaru Narabayashi; Tomohisa Hashimoto; Haruka Uezono; Naoaki Kusunoki; Takaki Maeda; Takanori Higashino; Takanori Taniguchi; Satoshi Noma
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-12-25
Journal Detail:
Title:  Radiation medicine     Volume:  25     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-18     Completed Date:  2008-03-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  548-52     Citation Subset:  IM    
Affiliation:
Division of Diagnostic Radiology, Department of Radiology, Tenri Hospital, Tenri, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction
Arterial Occlusive Diseases / radiography*
Diagnosis, Differential
Humans
Intermittent Claudication / radiography*
Magnetic Resonance Imaging
Male
Popliteal Artery*
Syndrome
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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