Zusammenfassung
Die Zystenkrankheit der Adventitia ist eine seltene Erkrankung der arteriellen Adventitia, die durch eine hoch visköse Zyste in der Adventitia mit mukösem Inhalt charakterisert ist. Obwohl die Erkrankung erstmals in der Arteria iliaca externa beschrieben worden ist, kommt sie häufiger in der Arteria poplitea vor. Sie tritt zumeist bei jungen (meist männlichen) Erwachsenen auf. Das Leitsymptom ist anfangs eine Claudicatio intermittens, da durch Größenzunahme der Zyste das Gefäß komprimiert wird, was zur Stenose oder sogar zum Verschluss führen kann. Da es sich um eine seltene Erkrankung der A. poplitea handelt, bleibt sie oft unerkannt. Wir berichten über eine 54-jährige Frau mit einer Zystenkrankheit der Adventitia der Arteria poplitea, die erfolgreich operiert werden konnte.
Summary
Adventitial cystic disease (ACD) is an uncommon and rare vascular entity characterized by a highly viscous and mucinous cyst located in the adventitia of an artery. Although first described in the external iliac artery, the disease is more frequently sited in the popliteal artery. ACD characteristically occurs in young adults, mostly male, with intermittent claudication as the initial presenting symptom. As the cyst enlarges, it leads to vascular compression with stenosis or occlusion. Because cystic formation of the popliteal artery is uncommon, the disease is often unrecognized. We report a case of popliteal artery ACD in a 54-year-old woman who was successfully treated surgically.
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Papas, T., Georgiadis, G., Maltezos, C. et al. Adventitial cystic disease of the popliteal artery: a potential cause of intermittent claudication. Wien Klin Wochenschr 119, 186–188 (2007). https://doi.org/10.1007/s00508-007-0772-9
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DOI: https://doi.org/10.1007/s00508-007-0772-9