Bilateral popliteal artery entrapment syndrome: Reemphasis on reading axial tomograms

被引:8
作者
Tamaki Y. [1 ]
Sano A. [1 ,2 ]
Okada T. [1 ]
Narabayashi M. [1 ]
Hashimoto T. [1 ]
Uezono H. [1 ]
Kusunoki N. [1 ]
Maeda T. [1 ]
Higashino T. [1 ]
Taniguchi T. [1 ]
Noma S. [1 ]
机构
[1] Division of Diagnostic Radiology, Department of Radiology, Tenri Hospital, Tenri 632-8552
[2] Department of Diagnostic and Interventional Radiology, Creighton University, Omaha, NE
来源
Radiation Medicine | 2007年 / 25卷 / 10期
关键词
Magnetic resonance; Multidetector row CT; Popliteal artery entrapment syndrome;
D O I
10.1007/s11604-007-0175-x
中图分类号
学科分类号
摘要
A 33-year-old man with bilateral popliteal artery entrapment syndrome (PAES) presented with right calf claudication. He underwent radiological studies including conventional arteriography, multidetector row CT (MDCT), and magnetic resonance imaging (MRI) of the lower extremities. He had been fine since birth and athletic in his school days. Axial tomographic images by MDCT and MRI at the popliteal fossa bilaterally showed an anomalous medial head of the gastrocnemius muscle between the popliteal artery and vein, resulting in right popliteal artery occlusion and leading to the diagnosis of bilateral PAES type II. MDCT or MR facilitates noninvasive computer-aided arteriography and is often utilized for screening patients with claudication for peripheral arterial diseases. However, axial tomograms are more essential for confirming PAES than arteriography, and radiologists should continue to look for possible abnormalities on popliteal fossa tomograms because early diagnosis of PAES allows better choices and outcomes of treatment. © 2007 Japan Radiological Society.
引用
收藏
页码:548 / 552
页数:4
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