Cystic adventitial disease of the common femoral artery

Cystic Adventitial Disease: A Trap for the Unwary

“…Hildreth reported a case of a 42-year-old gentleman who developed right calf claudication suddenly after a wrestling match with his sons after which he was unable to walk more than 100 yards. 19 Another patient was reported to have developed sudden onset of claudication while playing as catcher in a baseball game. 20 The context of pain in the calf in a young male developing soon after vigorous activity could easily be interpreted as musculoskeletal in origin.…”

“…30 This is not surprising considering the fact that many of these cysts communicate with the adjacent joint and, therefore, aspiration will not obliterate the communication. Surgical incision or partial or complete excision without opening the artery has been performed with good results 6,12,19,31 when the vessel is patent. Identifying and ligating any communicating channels into the adjacent joint is claimed to reduce the risk of recurrence following cyst excision.…”

A Contemporary Review of Cystic Adventitial Disease

“…15 Cystic adventitial disease presenting in athletes or those performing strenuous activities may be that of sudden onset after an episode of exertion. 2,19,20 Unlike typical claudication patients, the symptoms may completely resolve for a short period of time, and re-present later 21,22 or progress rapidly 23 (possibly due to excessive production of cystic fluid). Furthermore, recovery time from pain is prolonged in this group of patients compared with the typical claudicants.…”

“…Since then, fewer than 400 reports of CAD have been published, with a majority reporting popliteal artery involvement. Other uncommon sites being external iliac, femoral, 2,3 radial, 4,5 ulnar, brachial, 6,7 and axillary arteries, 8 with one reported case in the abdominal aorta 9 as well. Venous CAD is even more rare with less than 20 reported cases to date, affecting the external iliac, 10 femoral, 11 popliteal, 12 great 13 and short saphenous, 11,14 and wrist veins.…”

Zystische Adventitia-Degeneration der Arteria radialis Bericht über zwei eigene Beobachtungen und Literaturübersicht

“…poplitea A. femoralis A. radialis V. femoralis V. saphena magna oberflächliche Vene im Bereich des Handgelenkes 68mal 2mal (36,30) 2mal (3) lmal (23) lmal (47) lmal (39) Während die meisten Autoren diese Gefäßwandveränderungen als "zystische Adventitia-Degeneration" bezeichnen, wird diese Läsion von anderen als "Pseudozyste der Adventitia" (64,45,48,13) "synoviale Zyste" (58), "myxomatöse Degeneration" (5,70,18) oder als "zystisch-disseziierende intramurale Degeneration" (1) beschrieben.…”