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2.1
Popliteal Aneurysm
Aneurysms Popliteal

Presentation

The diagnostic workup and treatment are presented. [ncbi.nlm.nih.gov]

Entire Body System

  • Pain

    To discuss the management of a patient with unilateral lower extremity pain as a consequence of a popliteal aneurysm. An 85-year-old male had difficulty in ambulating due to low back and lower extremity pain. [ncbi.nlm.nih.gov]

    The attack of severe pain lasted two days and gradually subsided. Three months following this attack, he had a second severe episode of pain in the left calf, lasting several days. [mdedge.com]

  • Asymptomatic

    Secondary endpoints of endovascular versus open repair of asymptomatic popliteal artery aneurysm [doi.org]

    In 1981 a policy of conservative management for asymptomatic popliteal aneurysm was adopted in this unit. [ncbi.nlm.nih.gov]

  • Leg Swelling

    Disruption of lymph channels with secondary lymphoedema is probably the most important mechanism behind the leg swelling observed in patients following popliteal aneurysm repair. [ncbi.nlm.nih.gov]

    This case report illustrates a 65-year-old female who was diagnosed with a pseudoaneurysm of the popliteal artery when she was investigated for increased leg swelling and pain 1 week after total knee arthroplasty. [link.springer.com]

    We present a case of a patient presenting with a progressively worsening leg swelling which was initially misdiagnosed. Only until symptoms rapidly progressed was a popliteal aneurysm diagnosed. [jmmcr.microbiologyresearch.org]

    Clinical manifestations of a symptomatic PAA may include posterior knee pain, calf claudication and acute limb ischaemia (resulting from PAA thrombosis or crural vessel microembolisation), or leg swelling secondary to extrinsic compression of the popliteal [cochranelibrary.com]

  • Localized Pain

    At the time of diagnosis, 25 PAs were symptomatic: local pain, swelling, or "pulsation" in the popliteal groove (29%); claudication of the foot/calf (39%); critical ischemia (21%). [ncbi.nlm.nih.gov]

    Most patients are asymptomatic, but the condition can present as an unusual source of fatal pulmonary embolism.2,3 Other symptomatic presentations include swelling in the popliteal fossa, local pain and the post-phlebitic syndrome. [ajol.info]

    A popliteal aneurysm may be detected during a routine exam by a doctor or occasionally as a result of localized pain or weakness in the leg, especially behind the knee or in the foot. [hubpages.com]

    Thrombosis or embolism (or rarely, aneurysm rupture) causes extremities to be painful, cold, pale, paresthetic, or pulseless. Infectious aneurysms may cause local pain, fever, malaise, and weight loss. [merckmanuals.com]

  • Internal Bleeding

    This can become a life-threatening condition due to several reasons: Internal bleeding from the artery, resulting in significant blood loss and dropping of blood pressure. [hubpages.com]

    While aneurysms in the brain, chest and abdomen tend to burst, causing damage from internal bleeding, aneurysms in the leg are much more likely to form blood clots. They, in turn, can cause a number of complications. [nytimes.com]

Respiratoric

  • Pneumonia

    To the best of our knowledge this is the first documented case of a popliteal artery mycotic aneurysm developing secondary to Streptococus pneumoniae highlighting the changing profile of causative microorganisms. [jmedicalcasereports.biomedcentral.com]

    Mycotic aneurysm of the popliteal artery secondary to Streptococcus pneumoniae : a case report and review of the literature.. J Med Case Rep 3 :, 117. [CrossRef] [Google Scholar] Safar H.A., Cina C.S.. ( 2001 ; ). [jmmcr.microbiologyresearch.org]

    Later on in the hospital course, common complications include wound infections, pneumonia, urinary tract infection, and graft occlusion.[7] At discharge, patients are often prescribed oral painkillers, and should be prescribed a statin and an anti-platelet [wikipredia.net]

    The use of abdominal thrusts or quad coughing, postural drainage, chest percussion, and effective pain management lower the incidence of pneumonia in these patients. 171 Pathological Consequences of Splanchnic Hypoperfusion. Sulphated ash (2. [masa42.ru]

  • Cough

    For example, call if: You have sudden chest pain and shortness of breath, or you cough up blood. Call your doctor or nurse call line now or seek immediate medical care if: You have sudden pain in your leg or foot. [myhealth.alberta.ca]

    A pain in the chest, hoarseness, persistent coughing, and difficulty swallowing may indicate a thoracic aneurysm. That’s caused by weakness in the upper aorta, one of your main blood vessels. [webmd.com]

    Your recognised location is United States (US) More: Guidance Chronic cough in a child Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

    The use of abdominal thrusts or quad coughing, postural drainage, chest percussion, and effective pain management lower the incidence of pneumonia in these patients. 171 Pathological Consequences of Splanchnic Hypoperfusion. Sulphated ash (2. [masa42.ru]

  • Pharyngitis

    Your recognised location is United States (US) More: Guidance Tonsillitis and pharyngitis in children Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

  • Sore Throat

    Your recognised location is United States (US) More: Guidance Sore throat and tonsillitis Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

  • Chronic Cough

    Your recognised location is United States (US) More: Guidance Chronic cough in a child Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

Cardiovascular

  • Thrombosis

    Morbidity is high following acute thrombosis of popliteal aneurysm. Distortion of the aneurysm appears to be a more sensitive predictor of thrombosis than size alone. [ncbi.nlm.nih.gov]

    Keywords Pulmonary Embolus Deep Vein Thrombosis Deep Venous Thrombosis Popliteal Artery Popliteal Vein Introduction Popliteal artery aneurysms even in busy vascular units are infrequent and difficult to manage. [wjes.biomedcentral.com]

Psychiatrical

  • Suggestibility

    Many of the vascular complications after total knee arthroplasty may be preventable and the following prudent guidelines are suggested. [ncbi.nlm.nih.gov]

Urogenital

  • Urinary Incontinence

    Your recognised location is United States (US) More: Guidance Urinary incontinence in women Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

  • Incontinence

    Your recognised location is United States (US) More: Guidance Urinary incontinence in women Source: Finnish Medical Society Duodecim This article is freely available only to users in the UK. [evidence.nhs.uk]

Neurologic

  • Stroke

    Dissection of the vertebral artery : occipital headache, stroke resembling Wallenberg syndrome Treatment Treatment of atherosclerotic risk factors Open or endovascular stent grafting repair depending on size and growth rate of aneurysm Ultrasound -guided [amboss.com]

    If you don’t, you are at increased risk for a heart attack, a stroke or problems with the circulation to your feet. [angionet.gr]

    Blood clots forming in the artery and surrounding areas; these blood clots can cause a blockage in the circulatory system or a stroke if they reach the brain. For these reasons, surgery is an urgent requirement as soon as an aneurysm is detected. [hubpages.com]

    Aneurysms in arm arteries are relatively rare; they may cause limb ischemia, distal embolism, and stroke. Infectious (mycotic) aneurysms may occur in any artery but are most common in the femoral. [merckmanuals.com]

    Arm or carotid aneurysms have similar behavior but the symptoms they cause will involve the hand, with pain or ulcer formation, or the brain, with stroke or transient neurological symptoms, respectively. [vascularim.com]

  • Confusion

    Conclusion: Mycotic popliteal aneurysms are not very common and can easily be confused with other benign lesions. The key to diagnosis is the presence of a pulsatile mass and further detailed imaging. [jmmcr.microbiologyresearch.org]

    Baker's cysts are collections of fluid in the back of the knee which can occasionally be confused with a popliteal artery aneurysm. A Baker's cyst is usually the result of a problem in the knee joint which is causing inflammation of the joint space. [vasculardoc.com]

    […] relieved by knee flexion, firm pressure is applied by the fingers into the popliteal space, which will reproduce the pain in a positive bowstring test. 2, record 2, English, - bowstring%20test Record number: 2, Textual support number: 1 OBS Not to be confused [btb.termiumplus.gc.ca]

  • Irritability

    If younger patients without a known history of trauma are diagnosed with popliteal artery aneurysms, underlying bone pathologies need to be ruled out as asymptomatic bone tumors may repeatedly irritate the popliteal artrey and present as popliteal artery [sonoworld.com]

Workup

The diagnostic workup and treatment are presented. [ncbi.nlm.nih.gov]

Serum

  • Dyslipidemia

    A 62-year-old male with pertinent past medical history of hypertension, dyslipidemia, type II diabetes mellitus, and peripheral vascular disease (PVD) is seen as a new patient in your clinic. [acc.org]

Microbiology

  • Streptococcus Pneumoniae

    Mycotic aneurysm of the popliteal artery secondary to Streptococcus pneumoniae : a case report and review of the literature.. J Med Case Rep 3 :, 117. [CrossRef] [Google Scholar] Safar H.A., Cina C.S.. ( 2001 ; ). [jmmcr.microbiologyresearch.org]

    Streptococcus pneumoniae 1* E. coli 1 [ 5 ] Tuberculosis 1[ 14 ] Salmonella spp 1 [ 15 ] Culture negative 17 MPAA customarily presents as a painful, tender, pulsatile leg swelling in pyrexic patients with a definitive or unsuspected infective focus [ [jmedicalcasereports.biomedcentral.com]

  • Candida

    Caretaker-Pathway, Tumoren 179в180 Carinainfiltration, Bronchialkarzinom, zentrales 307 Kinderchirurgie 953 Brustwandtumoren 356в357 в primaМre, benignemaligne Brustwarze в Sekretion 525 в Thuб»‘c acyclovir stada cream 5g 524в525 B-Scan-Sonographie, 357 Candida [masa42.ru]

Treatment

While surgical treatment is usually preferred in an emergency, the evidence on first line treatment in a non‐emergency setting is unclear. [doi.org]

The results of treatment were best when saphenous vein was used to replace an uncomplicated aneurysm and, since the behaviour of aneurysms is unpredictable, we conclude that this is the treatment of choice. [ncbi.nlm.nih.gov]

Prognosis

Even though supplanted only one century later by Matas' obliterating endoaneurysmorraphy, this technique became the first efficient means of managing popliteal aneurysms, the prognosis of which had been absolutely disastrous until that time, leading to [ncbi.nlm.nih.gov]

Treatment and prognosis Symptomatic aneurysms are treated. [radiopaedia.org]

Popliteal aneurysms are generally associated with poor prognosis. [radcliffecardiology.com]

Etiology

In spite of the widespread use of the autologous saphenous vein as an arterial substitute, this complication is extremely rare and its etiology remains unclear. [ncbi.nlm.nih.gov]

This card discusses the etiology and clinical features of cerebral, external carotid, Ileofemoral, popliteal, and ventricular aneurysms. Symptoms generally depend on the location and size of the aneurysm. [amboss.com]

One week after the patient presented to the hospital, she was discharged on warfarin (international normalized ratio [INR] 2-3) and the etiology of her pulmonary emboli was unknown. [vasculardiseasemanagement.com]

Epidemiology

Popliteal artery aneurysm ultrasound Popliteal artery aneurysm epidemiology The exact prevalence of popliteal artery aneurysms is not known. It is known that these are the most common aneurysms in the periphery. [angiologist.com]

Non-modifiable risk factors include advanced age, male gender, Caucasian race, and family history of an aneurysmal disease. [4] [2] Epidemiology The exact incidence of popliteal artery aneurysm is not known as no population-based study has been published [ncbi.nlm.nih.gov]

Pathophysiology

Pathophysiological adaptation and structural changes of an implanted AVG in the arterial circulation includes mainly a proliferative neointima formation. [e-coretvasa.cz]

Pathophysiology Inflammation and proteolytic degeneration of connective tissue proteins → Loss of structural integrity of the aortic wall → Widening of the vessel Perforation of the vascular wall causing bleeding into the surrounding tissue → Formation [amboss.com]

Pathophysiology The etiology of PAAs and aneurysms, in general, is unknown. Molecular studies suggest that a combination of genetic defects and inflammatory processes may be responsible. [ncbi.nlm.nih.gov]

Prevention

Many of the vascular complications after total knee arthroplasty may be preventable and the following prudent guidelines are suggested. [ncbi.nlm.nih.gov]

The stent graft will help to prevent a blood clot from moving to and blocking your leg and knee arteries. It also will prevent rupture of the aneurysm. [pinnaclehealth.org]

Is the condition preventable? If so, how? Being a non-smoker is the best preventative measure. What should I do next? There are two ways to treat popliteal aneurysms. [londonvascularclinic.com]

This helps to prevent the risk of a blood clot moving to and blocking the leg arteries, prevents rupture of the aneurysm, and avoids blockage of the knee artery. [humanitas.net]

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2.1
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