Document Detail


Popliteal artery pseudoaneurysm: a rare complication of brucellosis.
MedLine Citation:
PMID:  14705176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Brucellosis is still a public health problem, particularly in developing countries. After the primary infection subsides, a chronic stage characterized by nonspecific manifestations can develop, during which it may not be possible to isolate Brucella organisms and agglutination test titers may or may not be high. We present the case of a 49-year-old man who had only nonspecific symptoms and a 2-month history of a pulsatile painful swelling in his right popliteal region. He had no history of trauma or surgery in that region, but he did ingest unpasteurized milk products. The patient's agglutination test titers were high, and Brucella melitensis was isolated from a bone marrow culture. Color Doppler sonography, T2-weighted MRI, and digital subtraction angiography were performed. Treatment with ultrasound-guided compression of the pseudoaneurysm failed because of high blood flow in its neck. Aneurysmectomy was undertaken, and the excised material was consistent with that from a mycotic pseudoaneurysm. Although both MRI and angiography provided useful information, the color Doppler sonography findings were characteristic of a pseudoaneurysm in the popliteal artery, and only that modality could detect the flow dynamics within the pseudoaneurysm.
Authors:
Mustafa Harman; Hasan Irmak; Halil Arslan; Unal Arslan; Mustafa Kayan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  32     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-05     Completed Date:  2004-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley Periodicals, Inc.
Affiliation:
Department of Radiology, University of Yüzüncü Yil Faculty of Medicine, Maraş Caddesi, 65200 Van, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology,  surgery,  ultrasonography*
Brucellosis / complications*
Humans
Male
Middle Aged
Popliteal Artery / surgery,  ultrasonography*
Ultrasonography, Doppler, Color

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


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