Document Detail


Pseudoaneurysm of the popliteal artery complicated by peroneal mononeuropathy in a 4-year-old child: report of a case.
MedLine Citation:
PMID:  17713737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pseudoaneurysms of the popliteal artery (PPA) rarely occur in children. In fact, we found only 10 cases reported in the medical literature. We report the case of a 4-year-old boy who presented with a painful palpable mass in the right popliteal fossa. He also had mild, painless right foot-drop and difficulty toe-walking on the same side. The diagnosis of a PPA was based on the findings of triplex ultrasound and computed tomographic-angiography. We attributed the cause of the lesion to blunt trauma, which he had suffered 2 years earlier. Thorough preoperative evaluation excluded the possibility of a self-immune process or a bone tumor in the region. Neurological examination demonstrated a mild, isolated, peripheral mononeuropathy of the right peroneal nerve. Thus, we performed surgical repair using an autologous reversed great saphenous vein graft. The patient had an uneventful postoperative course and his peripheral neuropathy and foot-drop resolved completely within 1 month after surgery. Now, after 3 years of follow-up, the patient has a patent graft and a fully functioning limb. PPAs are rare, especially in children, and trauma is the predominating underlying cause. PPAs should be treated immediately after diagnosis because their complications are associated with high rates of functional impairment and even limb loss.
Authors:
Angelos Megalopoulos; Konstantinos Vasiliadis; Sotirios Siminas; Panagiotis Givissis; Efthimia Vargiami; Dimitrios Zafeiriou; Dimitrios Botsios; Dimitrios Betsis
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-08-27
Journal Detail:
Title:  Surgery today     Volume:  37     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-23     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  798-801     Citation Subset:  IM    
Affiliation:
Fourth Surgical Department, Aristotle University of Thessaloniki, General Regional Hospital G. Papanikolaou, Exohi 570-10, Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology*,  surgery
Child, Preschool
Humans
Male
Mononeuropathies / complications*,  physiopathology
Peroneal Neuropathies / complications*,  physiopathology
Popliteal Artery / pathology*,  surgery
Wounds, Nonpenetrating / complications*

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


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