Diagnosis and management of a ruptured popliteal mycotic pseudoaneurysm

Dua, Anahita; Kuy, SreyRam; Desai, Sapan S.; Kumar, Naveen; Heller, Jennifer; Lee, Cheong J.
August 2015
Vascular;Aug2015, Vol. 23 Issue 4, p419
Academic Journal
Infected popliteal aneurysms are a rare but high-risk pathology that may present as a surgical emergency with acute rupture and sepsis. Management of acute ischemia in the presence of systemic sepsis is challenging and requires timely diagnosis, rapid intervention, and multidisciplinary communication to ensure an optimum outcome for both life and limb in these patients. We report on a case of a ruptured mycotic popliteal artery aneurysm as a consequence of septic embolization from infective endocarditis managed by reverse saphenous vein bypass. The clinical presentation, diagnostic process, and approach to management along with a literature review on mycotic popliteal aneurysm are presented in this case report.


Related Articles

  • Ruptured, Infected Popliteal Pseudoaneurysm. Robey, James W.; Kohlman-Trigoboff, Debra; Simsir, Sinan A.; Molina, Hector G.; Smith, Bruce M. // Vascular Surgery;May/Jun1998, Vol. 32 Issue 3, p281 

    An unusual case of ruptured, infected pseudoaneurysm of the popliteal artery presumed secondary to remote blunt trauma in a young man with no history of intravenous drug abuse is presented. The etiology and management of infected peripheral pseudoaneurysms are discussed.

  • Management of a Case of Ruptured Pseudoaneurysm and Stenosis of Femoral Artery Caused by Femoral Osteochondroma. DEEP GOYAL, VIKAS; SHARMA, VIPIN; KALIA, SANDEEP; PATHAK, SHIVAM // Journal of Clinical & Diagnostic Research;Jan2015, Vol. 9 Issue 1, p3 

    We present a rare case of ruptured pseudoaneurysm of distal femoral artery due to osteochondroma in a 21-year- old male. The patient was initially treated for osteochondroma as ruptured pseudoaneurysm was not suspected. Diagnosis of ruptured pseudoaneurysm could only be made intraoperatively...

  • Femoral Mycotic Aneurysm Following Cardiac Catheterization: A Case Report. Gecelter, Gary; Schein, Moshe // Vascular Surgery;Sep1990, Vol. 24 Issue 7, p503 

    A case of a ruptured femoral mycotic aneurysm following left cardiac catheterization is presented. The etiology, diagnosis, and management of this rare condition are briefly discussed.

  • Bacteroides fragilis aortic arch pseudoaneurysm: case report with review. Hsin-Ling Lee; Kung-Hung Liu; Yu-Jen Yang; Chung-Dann Kan // Journal of Cardiothoracic Surgery;2008, Vol. 3, Special section p1 

    We present a case of 58-year-old woman with underlying diabetes mellitus, hepatitis C virusrelated liver cirrhosis, and total hysterectomy for uterine myoma 11 moths ago, who was diagnosed ruptured aortic arch mycotic pseudoaneurysm after a certain period of survey for her unknown fever cause....

  • Popliteal artery pseudoaneurysm treated with covered stent placement and thrombolysis: a case report. Katsogridakis, Emmanuel; Patel, Hiren; Serracino-Inglott, Ferdinand; Chalmers, Nicholas // Journal of Surgical Case Reports;Sep2015, Vol. 2015 Issue 9, p1 

    Pseudoaneurysms of the popliteal artery are a rare clinical entity, accounting for <4% of all popliteal aneurysms. Accurate diagnosis and effective intervention is required to prevent potentially limb-threatening complications.We present the case of a 37-year-old man with acute limb ischaemia...

  • Popliteal cyst rupture in normal knee joints. MacFarlane, D.G.; Bacon, P.A. // British Medical Journal;11/1/1980, Vol. 281 Issue 6249, p1203 

    Examines the recognition of popliteal cyst rupture as a cause of pain and swelling in the calf. Similarity between the signs and symptoms of popliteal cysts rupture and deep vein thrombosis; Diagnosis for popliteal cysts rupture; Formation of cysts in the distended knee capsule.

  • Popliteal aneurysm: the need for vigilance. Aldoori, Munther I.; Rahman, Sakhawat H. // Age & Ageing;Jan1999, Vol. 28 Issue 1, p5 

    Focuses on aneurysms of the popliteal artery. Types of popliteal aneurysms; Diagnosis; Management of symptomatic and asymptomatic popliteal aneurysms.

  • Percutaneous Stent-Graft Repair of a Mycotic Pulmonary Artery Pseudoaneurysm. Mei-chun Chou; Huei-Lung Liang; Huay-Ban Pan; Chien-Fang Yang // CardioVascular & Interventional Radiology;Sep/Oct2006, Vol. 29 Issue 5, p890 

    Ruptured mycotic pulmonary pseudoaneurysm is a lethal complication. Emergent surgical repair is usually recommended, but still associated with a high mortality rate. We present a patient in whom mycotic pulmonary pseudoaneurysm was a complication after surgical lobectomy 2 weeks earlier. This...

  • Delayed presentation of popliteal artery pseudoaneurysm... Atta, Hussein M.; Tagoe, Albert // American Surgeon;Jun1997, Vol. 63 Issue 6, p496 

    Describes two patients with popliteal artery pseudoaneurysm following blunt trauma in whom the diagnosis was made with noninvasive diagnostic studies, magnetic resonance angiography (MRA) and duplex scan respectively. Popliteal artery pseudoaneurysms described; Methods used on studying patients...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics