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Erschienen in: CardioVascular and Interventional Radiology 3/2007

01.06.2007

Hereditary Multiple Exostoses with Pseudoaneurysm

verfasst von: Azmy M. Al-Hadidy, Moa’ath M. Al-Smady, Azmi A. Haroun, Hanan A. Hamamy, Suha M. Ghoul, Akram O. Shennak

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2007

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Abstract

A 16-year-old male patient with hereditary multiple exostoses (HME) was found to have a pseudoaneurysm of the left popliteal artery caused by osteochondroma in the lower femur. The diagnosis was confirmed by ultrasound, magnetic resonance imaging and magnetic resonance angiography without the need to perform an angiogram. The osteochondroma was excised and the popliteal artery was repaired with a saphenous graft. Vascular complications are extremely rare in HME, pseudoaneurysm being the most common and mostly located in the popliteal artery. This complication should be considered in young HME patients with a mass at the knee region. The radiological spectrum of investigations allows the diagnosis of this complication with proper and less invasive management procedures for the patient.
Literatur
1.
Zurück zum Zitat Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000) Imaging of osteochondroma: Variants and complications with radiologic-pathologic correlation. Radiographics 20:1407–1434PubMed Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000) Imaging of osteochondroma: Variants and complications with radiologic-pathologic correlation. Radiographics 20:1407–1434PubMed
2.
Zurück zum Zitat Stieber JR, Pierz KA, Dormans JP (2001) Hereditary multiple exostosis: A current understanding of clinical and genetic advances. Univ Pennsylvania Orthop J 14:39–48 Stieber JR, Pierz KA, Dormans JP (2001) Hereditary multiple exostosis: A current understanding of clinical and genetic advances. Univ Pennsylvania Orthop J 14:39–48
3.
Zurück zum Zitat Vasseur MA, Fabre O (2000) Vascular complications of osteochondromas. J Vasc Surg 31:532–538PubMedCrossRef Vasseur MA, Fabre O (2000) Vascular complications of osteochondromas. J Vasc Surg 31:532–538PubMedCrossRef
4.
Zurück zum Zitat Wiater JM, Farley FA (1999) Popliteal pseudoaneurysm caused by an adjacent osteochondroma: A case report and review of the literature. Am J Orthop 28:412–416PubMed Wiater JM, Farley FA (1999) Popliteal pseudoaneurysm caused by an adjacent osteochondroma: A case report and review of the literature. Am J Orthop 28:412–416PubMed
5.
Zurück zum Zitat Shirah H, Hamdi N, Khougeer G, Moreau P (1998) Superficial femoral artery pseudoaneurysm secondary to bone exostoses. Ann Saudi Med 18:343–344PubMed Shirah H, Hamdi N, Khougeer G, Moreau P (1998) Superficial femoral artery pseudoaneurysm secondary to bone exostoses. Ann Saudi Med 18:343–344PubMed
6.
Zurück zum Zitat Smits AB, Vd Pavoordt HD, Moll FL (1998) Unusual arterial complications caused by an osteochondroma of the femur or tibia in young patients. Ann Vasc Surg 12:370–372PubMedCrossRef Smits AB, Vd Pavoordt HD, Moll FL (1998) Unusual arterial complications caused by an osteochondroma of the femur or tibia in young patients. Ann Vasc Surg 12:370–372PubMedCrossRef
7.
Zurück zum Zitat Greenway G, Resnick B, Bookstein JJ (1979) Popliteal pseudoaneurysm as a complication of adjacent osteochondroma: Angiographic diagnosis. Am J Radiol 132:294–296 Greenway G, Resnick B, Bookstein JJ (1979) Popliteal pseudoaneurysm as a complication of adjacent osteochondroma: Angiographic diagnosis. Am J Radiol 132:294–296
8.
Zurück zum Zitat Perez-Burkhardt JL, Gomez Castilla JC (2003) Posttraumatic popliteal pseudoaneurysm from femoral osteochondroma: Case report and review of the literature. J Vasc Surg 37:669–671PubMedCrossRef Perez-Burkhardt JL, Gomez Castilla JC (2003) Posttraumatic popliteal pseudoaneurysm from femoral osteochondroma: Case report and review of the literature. J Vasc Surg 37:669–671PubMedCrossRef
9.
Zurück zum Zitat Schwartz RA, Kerns DB, Mitchell DB (1991) Color Doppler ultrasound imaging in iatrogenic arterial injuries. Am J Surg 162:4–6PubMedCrossRef Schwartz RA, Kerns DB, Mitchell DB (1991) Color Doppler ultrasound imaging in iatrogenic arterial injuries. Am J Surg 162:4–6PubMedCrossRef
10.
Zurück zum Zitat Recht MP, Sachs PB, LiPuma J, Clampitt M (1993) Popliteal artery pseudoaneurysm in a patient with hereditary multiple exostoses: MRI and MRA diagnosis. J Comput Assist Tomogr 17:300–302PubMedCrossRef Recht MP, Sachs PB, LiPuma J, Clampitt M (1993) Popliteal artery pseudoaneurysm in a patient with hereditary multiple exostoses: MRI and MRA diagnosis. J Comput Assist Tomogr 17:300–302PubMedCrossRef
11.
Zurück zum Zitat Manghat NE, Alao D, Edwards AJ, Ashley S, Rootbottom CA (2005) Popliteal pseudoaneurysm secondary to a tibial osteochondroma: Diagnosis with multi-detector row computed tomographic angiography. Case Report. Emerg Radiol 11:132–135PubMedCrossRef Manghat NE, Alao D, Edwards AJ, Ashley S, Rootbottom CA (2005) Popliteal pseudoaneurysm secondary to a tibial osteochondroma: Diagnosis with multi-detector row computed tomographic angiography. Case Report. Emerg Radiol 11:132–135PubMedCrossRef
12.
Zurück zum Zitat Wambeek N, Munk PL, O’Connell JX, Lee MJ, Masri BA (1999) Popliteal vascular malformation simulating a soft tissue sarcoma. Skeletal Radiol 28:532–535PubMedCrossRef Wambeek N, Munk PL, O’Connell JX, Lee MJ, Masri BA (1999) Popliteal vascular malformation simulating a soft tissue sarcoma. Skeletal Radiol 28:532–535PubMedCrossRef
13.
Zurück zum Zitat Dominguez R, de Santos LA (1986) Traumatic pseudoaneurysm of the anterior tibial artery simulating soft tissue malignancy. Skeletal Radiol 15:622–624PubMedCrossRef Dominguez R, de Santos LA (1986) Traumatic pseudoaneurysm of the anterior tibial artery simulating soft tissue malignancy. Skeletal Radiol 15:622–624PubMedCrossRef
14.
Zurück zum Zitat Parvathy U, Saldanha R, Balakrishnan KR (2005) Pseudoaneurysm of the popliteal artery. Surgical management of 3 cases. J Cardiovasc Surg (Torino) 46:43–46 Parvathy U, Saldanha R, Balakrishnan KR (2005) Pseudoaneurysm of the popliteal artery. Surgical management of 3 cases. J Cardiovasc Surg (Torino) 46:43–46
15.
Zurück zum Zitat Taneda Y, Nakamura K, Yano M, Nagahama H, Nakamurqa E, Niina K, Enomoto Y, Onituka T (2004) Popliteal artery pseudoaneurysm caused by osteochondroma. Ann Vasc Surg 18:121–123PubMedCrossRef Taneda Y, Nakamura K, Yano M, Nagahama H, Nakamurqa E, Niina K, Enomoto Y, Onituka T (2004) Popliteal artery pseudoaneurysm caused by osteochondroma. Ann Vasc Surg 18:121–123PubMedCrossRef
16.
Zurück zum Zitat Chan RP, Common AA (2004) Stent-graft repair of femoral pseudoaneurysm/AV fistula using a retrograde popliteal approach. Cardiovasc Intervent Radiol 27:516–519PubMed Chan RP, Common AA (2004) Stent-graft repair of femoral pseudoaneurysm/AV fistula using a retrograde popliteal approach. Cardiovasc Intervent Radiol 27:516–519PubMed
17.
Zurück zum Zitat Vaidhyanath R, Blanshard KS (2003) Insertion of a covered stent for treatment of a popliteal artery pseudoaneurysm following total knee arthroplasty: Case report. Br J Radiol 76:195–198PubMedCrossRef Vaidhyanath R, Blanshard KS (2003) Insertion of a covered stent for treatment of a popliteal artery pseudoaneurysm following total knee arthroplasty: Case report. Br J Radiol 76:195–198PubMedCrossRef
18.
Zurück zum Zitat Giannoukas AD, Chan P, Gaines PA (2005) Endoluminal repair of anastomotic false popliteal aneurysm using the Wallgraft endoprosthesis. Int Angiol 24:95–97PubMed Giannoukas AD, Chan P, Gaines PA (2005) Endoluminal repair of anastomotic false popliteal aneurysm using the Wallgraft endoprosthesis. Int Angiol 24:95–97PubMed
Metadaten
Titel
Hereditary Multiple Exostoses with Pseudoaneurysm
verfasst von
Azmy M. Al-Hadidy
Moa’ath M. Al-Smady
Azmi A. Haroun
Hanan A. Hamamy
Suha M. Ghoul
Akram O. Shennak
Publikationsdatum
01.06.2007
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2007
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-005-0334-3

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