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

  • Exploring the Barriers to Clinic-based Screening for Sexually Transmitted Infections (STIs) among Men in Ghana: A Qualitative Study
    Joseph Kuufaakang Kuunibe, Felix Apiribu, Timothy Tienbia Laari*, Gideon Awenabisa Atanuriba, Veronica Millicent Dzomeku, Victoria Bubunyo Bam, Abigail Kusi-Amponsah Diji, Adwoa Bemah Boamah Mensah, Philemon Adoliwine Amooba, Rumana Saeed Mohammed and E Joseph Kuufaakang Kuunibe, Felix Apiribu, Timothy Tienbia Laari*, Gideon Awenabisa Atanuriba, Veronica Millicent Dzomeku, Victoria Bubunyo Bam, Abigail Kusi-Amponsah Diji, Adwoa Bemah Boamah Mensah, Philemon Adoliwine Amooba, Rumana Saeed Mohammed, E. Exploring the Barriers to Clinic-based Screening for Sexually Transmitted Infections (STIs) among Men in Ghana: A Qualitative Study. J Community Med Health Solut. 2024: doi: 10.29328/journal.jcmhs.1001046; 5: 044-051
  • Case Report: Haultain’s Method Reposition for Subacute Uterine Inversion
    Citra Utami Effendy*, Nicko Pisceski Kusika and Alwin Hutabarat Citra Utami Effendy*, Nicko Pisceski Kusika, Alwin Hutabarat. Case Report: Haultain’s Method Reposition for Subacute Uterine Inversion. Clin J Obstet Gynecol. 2023: doi: 10.29328/journal.cjog.1001138; 6: 117-119
  • A Comparative Study of Serum Sodium and Potassium Levels across the Three Trimesters of Pregnancy
    Otoikhila OC and Seriki SA* Otoikhila OC and Seriki SA*. A Comparative Study of Serum Sodium and Potassium Levels across the Three Trimesters of Pregnancy. Clin J Obstet Gynecol. 2023: doi: 10.29328/journal.cjog.1001137; 6: 108-116
  • Quality of Antenatal Care and its Determinants in the Urban-Rural Environment of Kamina, Democratic Republic of the Congo
    Ignace Bwana Kangulu*, Jules Ngwe Thaba Moyambe, Michel Kabamba Nzaji, Ange Assumani Kibibi, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, John Ngoy Lumbule, Eric Kiwele Zongwe, Xavier Kinenkinda Kalume, Albert Mwembo Tambwe A'Nkoy and Jean Baptiste Kakoma Ignace Bwana Kangulu*, Jules Ngwe Thaba Moyambe, Michel Kabamba Nzaji, Ange Assumani Kibibi, Alain Mbayo Kazadi, Elie Kilolo Ngoy Umba, John Ngoy Lumbule, Eric Kiwele Zongwe, Xavier Kinenkinda Kalume, Albert Mwembo Tambwe A'Nkoy, Jean Baptiste Kakoma. Quality of Antenatal Care and its Determinants in the Urban-Rural Environment of Kamina, Democratic Republic of the Congo. Clin J Obstet Gynecol. 2023: doi: 10.29328/journal.cjog.1001136; 6: 101-107
  • Anesthesia Considerations in Scoliosis Surgery - A Clinical Communication
    Anagha Warik and Abinav Sarvesh* Anagha Warik,Abinav Sarvesh*. Anesthesia Considerations in Scoliosis Surgery - A Clinical Communication. Int J Clin Anesth Res. 2025: doi: 10.29328/journal.ijcar.1001030; 9: 023-025

Read More

Most Viewed

Read More

Help ?