Ahmet KARAGÖZ, Özlem KESKİN, Aslı VURAL, Bengi BAŞER, Abdullah ÇELİK

A giant thrombotic popliteal aneurysm with concomitant entrapment neuropathy and critical limb ischemia

Popliteal arter anevrizmaları periferal arter anevrizmaları içinde nispeten yaygın olarakgözlenmektedir. Bununla birlikte popliteal anevrizmaya bağlı olarak tuzak nöropati veya kritikekstremite iskemisi gözlenmesi oldukça nadiridir. Tibial ve common peroneal sinirler periferiksinirler arasında daha dar bir anatomik bölgede yerleşmiş olmaları ve eklem komşulukları nedeniile kronik basıya daha sıkılıkla maruz kalırlar. Biz burada tuzak nöropatisi ve kritik ekstremiteiskemisine neden olan bir tromboze popliteal anevrizma olgusunu sunuyoruz.

Tuzak nöropati ve kritik ekstremite iskemisine neden olan dev tromboze popliteal anevrizma

Popliteal artery aneurysms are relatively common among all peripheral aneurysms. Neverthelessdevelopment of entrapment neuropathy or critical limb ischemia due to a popliteal aneurysm isextremely rare. Peripheral nerves such as tibial and common peroneal nerves are more frequentlyexposed to chronic compression due to settlement with a narrow anatomic volume and neighbor- hood with a joint. Herein we present a case of a thrombotic popliteal aneurysm causing entrapmentneuropathy and critical limb ischemia.

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1. Aulivola B, Hamdan AD, Hile CN, Sheahan MG, Skillman JJ, Campbell DR. Popliteal artery aneurysms: A comparison of outcomes in elective versus emergent repair. J Vasc Surg 2004; 39: 1171-7.
2. Sarcina A, Bellosta R, Luzzani L, Agrifoglio G.Surgical treatment of popliteal artery aneurysm. A 20 year experience. J Cardiovasc Surg 1997; 38: 347-54.
3. Segal R, Machiraju U, Larkins M. Tortuous peripheral arteries: A cause of focal neuropathy. Case report. J Neurosurg 1992; 76: 701-4.
4. Donovan A, Rosenberg ZS, Caval- canti CF. MR Imaging of entrapment neuropathies of the lower extremity. RadioGraphics 2010; 30: 1001-9.
5. Bajardi G, Pecoraro F, Vitale G, La Rosa G, Bellisi M, Bracale UM. A popliteal artery aneurysm presenting with ab extrinseco popliteal vein occlusion and compartment syndrome: A case report. Ann Ital Chir 2012; 83: 441-4.
6. Ersozlu S, Ozulku M, Yildirim E, Tandogan R. Common peroneal nerve palsy from an untreated popliteal pseudoaneurysm after penetrating injury J Vasc Surg 2007; 45: 408-10.
7. Beaudry Y, Stewart JD, Errett L. Distal sciatic nerve compression by a popliteal artery aneurysm. Can J Neurol Sci 1989; 16: 352-3.
8. Logigian EL, Berger AR, Shahani BT. Injury to the tibial and peroneal nerves due to hemorrhage in the popliteal fossa. Two case reports. J Bone Joint Surg Am 1989; 71: 768-70.