16 KB189 KB15 KB192920262006Kozar, Francštevilka:124 straniletnik:75str. 847-850ISSN:1318-0347COBISSID:22423513URN:URN:NBN:SI:doc-VW4DLSDJslSlovensko zdravniško društvoZdravniški vestnikAdultarterijeCistecistična degeneracijaCystsdiagnostikaetiologijaIntermitetna klavdikacijaIntermittent ClaudicationKnee JointKolenski sklepOdrasliožiljePathologyPopliteal ArteryPoplitealna arterijaSurgeryCistična degeneracija adventicije arterijske popliteje in komunikacija s kolenskim sklepom| case report| Cystic adventitial degeneration of popliteal artery and communication with theknee joint| prikaz primera|Background Atherosclerosis is the most common cause of lower limb ishemia in developed world. Other nonatherosclerotic causes must be considered in a youngpatient without specific risk factors, among them cystic adventitial degeneration of popliteal artery, a rare disease with unknown etiology. Patients and methods A 27 year-old male patient presented with symptoms of intermittent claudication. He had no risk factors. After prompt diagnosis a surgical procedure was performed .A cystic formation was found in popliteal artery which communicated with knee joint. We evacuated the cyst and closed the communication with the joint. Patient is symptom free at the moment. Conclusions When dealing with a younger patient with signs of intermittent claudication, we have to consider nonatherosclerotic causes of disease, among them cystic adventitial degeneration of popliteal artery. Therapy is surgical,obtained results are very good without recurrence of cystsIzhodišča V razvitem svetu je najpogostejši vzrok ishemije spodnjih udov ateroskleroza. Pri mlajših bolnikih brez dejavnikov tveganja moramo razmišljati o drugih možnih boleznih, ki prizadenejo žilje. V to skupino spadatudi cistična degeneracija adventicije arterije popliteje, redka bolezen neznane etiologije. Bolniki in metode 27-letni moški je obiskal našo ambulantozaradi znakov intermitentne klavdikacije ob odsotnosti dejavnikov tveganja. Po opravljeni diagnostiki smo se odločili za operativni poseg, pri katerem smo odkrili cistično tvorbo v notranjosti arterije, ki je komuniciralas kolenskim sklepom. Cisto smo odstranili, zaprli smo fistulo, ki je vodila v notranjost sklepa. Bolnik je po operativnem zdravljenju brez težav. Zaključki Pri mlajšem bolniku z znaki ishemije spodnjih udov je potrebno pomisliti na bolezni žil, ki niso aterosklerotskega izvora; med to spada tudi cistična degeneracija adventicije poplitealne arterije. Zdravljenjeje kirurško, rezultatim praviloma dobri brez ponavljanja cistTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo