間欠性跛行を来した膝窩部ガングリオンの一例

症例は43歳男性。左下腿間欠性跛行を主訴に前医受診。左下肢動脈狭窄が疑われ，当科紹介受診となった。CTおよびMRIでは左膝窩動脈は多房性の囊胞構造物により圧排され，限局的な狭窄を来していた。膝窩動脈外膜囊腫による左膝窩動脈狭窄と診断した。手術は狭窄部膝窩動脈を切除し，大伏在静脈で置換を行った。病理では囊腫性病変は動脈壁外に存在しており，ガングリオンと診断した。...

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Published in脈管学 Vol. 63; no. 4; pp. 63 - 67
Main Authors 尾﨑, 公彦, 荻原, 正規, 宮原, 拓也, 西野, 純史, 海野, 俊之, 吉本, 多一郎
Format Journal Article
LanguageJapanese
Published 日本脈管学会 10.07.2023
Subjects
adventitial cystic disease
ganglion
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ISSN0387-1126
1880-8840
DOI10.7133/jca.23-00009

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Abstract 症例は43歳男性。左下腿間欠性跛行を主訴に前医受診。左下肢動脈狭窄が疑われ，当科紹介受診となった。CTおよびMRIでは左膝窩動脈は多房性の囊胞構造物により圧排され，限局的な狭窄を来していた。膝窩動脈外膜囊腫による左膝窩動脈狭窄と診断した。手術は狭窄部膝窩動脈を切除し，大伏在静脈で置換を行った。病理では囊腫性病変は動脈壁外に存在しており，ガングリオンと診断した。
AbstractList 症例は43歳男性。左下腿間欠性跛行を主訴に前医受診。左下肢動脈狭窄が疑われ，当科紹介受診となった。CTおよびMRIでは左膝窩動脈は多房性の囊胞構造物により圧排され，限局的な狭窄を来していた。膝窩動脈外膜囊腫による左膝窩動脈狭窄と診断した。手術は狭窄部膝窩動脈を切除し，大伏在静脈で置換を行った。病理では囊腫性病変は動脈壁外に存在しており，ガングリオンと診断した。
Author 吉本, 多一郎
宮原, 拓也
荻原, 正規
海野, 俊之
尾﨑, 公彦
西野, 純史
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References 12) Min SK, Han A, Min S, et al: Inconsistent use of terminology and different treatment outcomes of venous adventitial cystic disease: a proposal for reporting standards. Vasc Specialist Int 2020; 36: 57–65
3) Yada M, Shomura S, Suzuki H, et al: A case of femoral artery compression resulting from a ganglion of the hip joint. Jpn J Vasc Surg 2017; 26: 117–120
1) Azuma N: JCS/JSVS 2022 Guideline on the Management of Peripheral Arterial Disease. 114–115. https://www.j-circ.or.jp/cms/wp-content/uploads/2022/03/JCS2022_Azuma.pdf (accessed 2023-02-17
8) Fukumoto Y: A case of lower extremity swelling due to iliac vein stenosis caused by hip joint ganglion. Jpn J Vasc Surg 2017; 26: 217–220
10) Matsumoto H, Yamamoto E, Kamiya C, et al: Femoral vein compression resulting from a ganglion of the hip joint: a case report. Ann Vasc Dis 2012; 5: 233–236
7) Kaczynski J, Topliss C, Fligelstone L: Intermittent foot claudication caused by a dynamic compression of the posterior tibial artery. BMJ Case Rep 2016; 2016: bcr2016216152
6) Kawarai S, Fukasawa M, Kawahara Y: Adventitial cystic disease of the popliteal artery. Ann Vasc Dis 2012; 5: 190–193
2) Sidawy AP, Perler BA: Rutherford’s Vascular Surgery and Endovascular Therapy. 9th edition. Elsevier, Washington, 2018, 1899–1905
9) Kaneko Y, Hara M, Yoshinaga T, et al: Femoral vein stenosis caused by the inguinal ganglion: a case report. Jpn J Phlebol 2011; 22: 53–56
4) Ogoshi T, Minamizaki T, Kagawa T, et al: Popliteal cystic disease caused leg symptom: a report of two cases. Orthop Traumatol 2008; 57: 84–86
5) Yuasa U, Fujii T, Yamamoto N, et al: Popliteal cystic disease caused intermittent claudication: a case report. Heart 2012; 44: 807–811
11) Magishi K, Izumi Y, Shimizu N: Popliteal vein occlusion caused by the ganglion: a case report. Jpn J Phlebol 2013; 24: 327–331
References_xml – reference: 6) Kawarai S, Fukasawa M, Kawahara Y: Adventitial cystic disease of the popliteal artery. Ann Vasc Dis 2012; 5: 190–193
– reference: 7) Kaczynski J, Topliss C, Fligelstone L: Intermittent foot claudication caused by a dynamic compression of the posterior tibial artery. BMJ Case Rep 2016; 2016: bcr2016216152
– reference: 4) Ogoshi T, Minamizaki T, Kagawa T, et al: Popliteal cystic disease caused leg symptom: a report of two cases. Orthop Traumatol 2008; 57: 84–86
– reference: 5) Yuasa U, Fujii T, Yamamoto N, et al: Popliteal cystic disease caused intermittent claudication: a case report. Heart 2012; 44: 807–811
– reference: 1) Azuma N: JCS/JSVS 2022 Guideline on the Management of Peripheral Arterial Disease. 114–115. https://www.j-circ.or.jp/cms/wp-content/uploads/2022/03/JCS2022_Azuma.pdf (accessed 2023-02-17)
– reference: 3) Yada M, Shomura S, Suzuki H, et al: A case of femoral artery compression resulting from a ganglion of the hip joint. Jpn J Vasc Surg 2017; 26: 117–120
– reference: 8) Fukumoto Y: A case of lower extremity swelling due to iliac vein stenosis caused by hip joint ganglion. Jpn J Vasc Surg 2017; 26: 217–220
– reference: 9) Kaneko Y, Hara M, Yoshinaga T, et al: Femoral vein stenosis caused by the inguinal ganglion: a case report. Jpn J Phlebol 2011; 22: 53–56
– reference: 12) Min SK, Han A, Min S, et al: Inconsistent use of terminology and different treatment outcomes of venous adventitial cystic disease: a proposal for reporting standards. Vasc Specialist Int 2020; 36: 57–65
– reference: 2) Sidawy AP, Perler BA: Rutherford’s Vascular Surgery and Endovascular Therapy. 9th edition. Elsevier, Washington, 2018, 1899–1905
– reference: 11) Magishi K, Izumi Y, Shimizu N: Popliteal vein occlusion caused by the ganglion: a case report. Jpn J Phlebol 2013; 24: 327–331
– reference: 10) Matsumoto H, Yamamoto E, Kamiya C, et al: Femoral vein compression resulting from a ganglion of the hip joint: a case report. Ann Vasc Dis 2012; 5: 233–236
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Snippet 症例は43歳男性。左下腿間欠性跛行を主訴に前医受診。左下肢動脈狭窄が疑われ，当科紹介受診となった。CTおよびMRIでは左膝窩動脈は多房性の囊胞構造物により圧排され，限局...
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StartPage 63
SubjectTerms adventitial cystic disease
ganglion
Title 間欠性跛行を来した膝窩部ガングリオンの一例
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