Spontaneous Regression of Cystic Adventitial Disease of the Popliteal Artery: A Case Report

Spontaneous regression of cystic adventitial disease (CAD) of the popliteal artery is rare. In this report, we describe a 53-year-old woman who presented with left calf pain and was diagnosed with CAD with popliteal artery stenosis, which regressed without therapy. The disease was diagnosed via comp...

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Bibliographic Details
Published inAnnals of vascular surgery Vol. 62; pp. 498.e11 - 498.e13
Main Authors Nemoto, Masaru, Hosaka, Akihiro
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.01.2020
Subjects
Adventitia - diagnostic imaging
Constriction, Pathologic
Cysts - diagnostic imaging
Female
Humans
Middle Aged
Peripheral Arterial Disease - diagnostic imaging
Popliteal Artery - diagnostic imaging
Remission, Spontaneous
Time Factors
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Summary:Spontaneous regression of cystic adventitial disease (CAD) of the popliteal artery is rare. In this report, we describe a 53-year-old woman who presented with left calf pain and was diagnosed with CAD with popliteal artery stenosis, which regressed without therapy. The disease was diagnosed via computed tomography, and a surgical intervention was planned at the time of diagnosis. However, her symptoms disappeared 2 months after the initial presentation. Ultrasonography and computed tomography revealed spontaneous regression of the cystic lesions and resolution of the popliteal artery stenosis. During the 29-month follow-up period, her symptoms did not recur. Although CAD often requires surgical intervention, it may be acceptable to carefully observe patients with spontaneous regression for some time to check for recurrence.
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2019.06.023