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I read with interest The Picture Quiz "An Unusual case of calf pain"
submitted by Noel Caesar, Brancko Dunjic and Kevin Cassar (BMJ
2010:340:c716)
Adventitial Cystic disease is uncommon but needs to be considered,
along with entrapment syndrome,in younger patients with isolated popliteal
artery disease . If only the Maximum Intensity Projections (MIPs)of MRA or
CTA are interrogated the diagnosis will be missed, it is essential to go
back to the "raw data" images.
Whilst surgery remains the Gold Standard the adventitial cysts can be
aspirated under US guidance. (Adventitial disease of the Politeal Artery:
Percutaneous US-guided Aspiration. Dai-Do Do et al Radiology 1997;203:743-
746).
In our hospital US guided aspiration has become the treatment of choice.
Competing interests:
None declared
Competing interests:
No competing interests
01 March 2010
Dugald A. Glen
Consultant Radiologist
Stirling Royal Infirmary,Forth Valley Acute HospitalsFK82AU
US Guided Aspiration for Adventitial Cystic Disease of the Popliteal Artery
I read with interest The Picture Quiz "An Unusual case of calf pain"
submitted by Noel Caesar, Brancko Dunjic and Kevin Cassar (BMJ
2010:340:c716)
Adventitial Cystic disease is uncommon but needs to be considered,
along with entrapment syndrome,in younger patients with isolated popliteal
artery disease . If only the Maximum Intensity Projections (MIPs)of MRA or
CTA are interrogated the diagnosis will be missed, it is essential to go
back to the "raw data" images.
Whilst surgery remains the Gold Standard the adventitial cysts can be
aspirated under US guidance. (Adventitial disease of the Politeal Artery:
Percutaneous US-guided Aspiration. Dai-Do Do et al Radiology 1997;203:743-
746).
In our hospital US guided aspiration has become the treatment of choice.
Competing interests:
None declared
Competing interests: No competing interests