Abstract

Case Report

Cystic adventitial disease of the external iliac artery with disabling claudication: A case report and short review

Nalaka Gunawansa*

Published: 03 July, 2018 | Volume 2 - Issue 1 | Pages: 010-013

Chronic occlusive arterial disease of the periphery is primarily caused by atherosclerotic disease. In young patients with no identifi able risk factors for atherosclerosis, who present with symptoms of claudication or critical ischemia, other rare causes need to be suspected. Cystic adventitial disease is one such condition affecting young healthy patients. Although it has been reported most commonly in relation to the popliteal artery, other sites including the iliac artery can also get affected. Isolated short segment stenosis or occlusion can lead to signifi cant disabling symptoms restricted to one side. Imaging studies show pristine arterial anatomy with no evidence of systemic atherosclerotic disease and an isolated area of luminal stenosis. Defi nitive treatment involves open surgical excision with interposition grafting for optimal long-term results. We report a case of cystic adventitial disease affecting the external iliac artery in an otherwise healthy young man. 

Read Full Article HTML DOI: 10.29328/journal.avm.1001004 Cite this Article Read Full Article PDF

Keywords:

Cystic adventitial disease; Claudication; Atherosclerosis; Iliac artery

References

  1. Hall RI, Proud G, Chamberlain J, McNeil IF. Cystic adventitial disease of the common femoral and popliteal arteries. Br J Surg. 1985; 72: 756-758. Ref.: https://tinyurl.com/y9bkpyqn
  2. Atkins HJ, Key JA. A case of myxomatous tumour arising in the adventitia of the left external iliac artery. Br J Surg. 1947; 34: 426-427. Ref.: https://tinyurl.com/y7qmubg3
  3. Baxter AR, Garg K, Lamparello PJ, Mussa FF, Cayne NS, et al. Cystic adventitial disease of the popliteal artery: Is there a consensus in management? Vascular. 2011; 19: 163-166. Ref.: https://tinyurl.com/ybojkjrr
  4. Paravastu SC, Regi JM, Turner DR, Gaines PA. A contemporary review of cystic adventitial disease. Vasc Endovascular Surg. 2012; 46: 5-14. Ref.: https://tinyurl.com/y7lyh7dh
  5. Kuijpers P, Mol P, Hoefsloc F. Idiopathic cystic degeneration of the left common femoral artery. - Semantic Scholar. Arch Chir Neerl. 1969; 21: 77-84. Ref.: https://tinyurl.com/ychcljzg
  6. Ishikawa K. Cystic adventitial disease of the popliteal artery and of other stem vessels in the extremities. Jpn J Surg. 1987; 17: 221-229. Ref.: https://tinyurl.com/ybq3j5zy
  7. Stierli P, Mauch J, Koella C, Huber A, Eugster T, et al. Circumferential removal of the adventitia for cystic degeneration of the popliteal artery. Br J Surg. 2005; 92: 56-57. Ref.: https://tinyurl.com/y8qoo34q

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Similar Articles

Recently Viewed

  • Clinical Severity of Sickle Cell Anaemia in Children in the Gambia: A Cross-Sectional Study
    Lamin Makalo, Samuel A Adegoke, Stephen J Allen, Bankole P Kuti, Kalipha Kassama, Sheikh Joof, Aboulie Camara, Mamadou Lamin Kijera and Egbuna O Obidike Lamin Makalo,Samuel A Adegoke,Stephen J Allen,Bankole P Kuti,Kalipha Kassama,Sheikh Joof,Aboulie Camara,Mamadou Lamin Kijera,Egbuna O Obidike. Clinical Severity of Sickle Cell Anaemia in Children in the Gambia: A Cross-Sectional Study. J Hematol Clin Res. 2025: doi: 10.29328/journal.jhcr.1001033; 9: 001-006
  • Prospective evaluation of a computerized algorithm for Vitamin K antagonist drug dose calculation
    Maarten J Beinema*, Jacobus RBJ Brouwers, Henk Adriaansen and Frank GA Jansman Maarten J Beinema*,Jacobus RBJ Brouwers,Henk Adriaansen,Frank GA Jansman. Prospective evaluation of a computerized algorithm for Vitamin K antagonist drug dose calculation. J Hematol Clin Res. 2023: doi: 10.29328/journal.jhcr.1001020; 7: 001-005
  • Systemic sclerosis sine scleroderma presenting as renal crisis, a case report and review of the literature
    Urvi V Patel, Navdeep Sangha* and Andrew Rettew Urvi V Patel, Navdeep Sangha*, Andrew Rettew. Systemic sclerosis sine scleroderma presenting as renal crisis, a case report and review of the literature. J Hematol Clin Res. 2023: doi: 10.29328/journal.jhcr.1001021; 7: 001-010
  • Mechanism of Small Molecule Inhibitors of Phagocytosis
    Melika Loriamini, Melissa M Lewis-Bakker, Beth Binnington, Lakshmi P Kotra and Donald R Branch* Melika Loriamini, Melissa M Lewis-Bakker, Beth Binnington, Lakshmi P Kotra, Donald R Branch*. Mechanism of Small Molecule Inhibitors of Phagocytosis. J Hematol Clin Res. 2023: doi: 10.29328/journal.jhcr.1001022; 7: 011-014
  • Evaluation of the Bone Marrow Aspirate Examination Practice at the University Hospital Andrainjato Fianarantsoa, Madagascar
    Bronislaw Tchestérico Dodoson, Jocia Fenomanana, Manevarivo Eddy Ramaminiaina, Stéphania Niry Manantsoa, Zely Arivelo Randriamanantany, Andriamiadana Luc Rakotovao and Aimée Olivat Rakoto Alson Bronislaw Tchestérico Dodoson, Jocia Fenomanana, Manevarivo Eddy Ramaminiaina, Stéphania Niry Manantsoa, Zely Arivelo Randriamanantany, Andriamiadana Luc Rakotovao, Aimée Olivat Rakoto Alson. Evaluation of the Bone Marrow Aspirate Examination Practice at the University Hospital Andrainjato Fianarantsoa, Madagascar. J Hematol Clin Res. 2023: doi: 10.29328/journal.jhcr.1001023; 7: 015-020

Read More

Most Viewed

Read More

Help ?