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      Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review

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          Abstract

          This report highlights the case of cystic adventitial disease of the left popliteal artery in a 45‐year‐old male patient. Imaging modalities confirmed the diagnosis and high resolution MRI found a cystic connection to the adjacent knee joint. The evolution was unusual with spontaneous regression of the symptoms.

          Abstract

          Spontaneous symptoms regression is rare, with few reported cases. The authors suggest starting with conservative treatment in no significant symptomatic cases. MRI angiography could reveal clearly the cystic connection with the knee joint.

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          The etiology and management of cystic adventitial disease.

          Nicholas M. Desy, Robert J. Spinner (2014)
          Cystic adventitial disease (CAD) is a rare condition that affects arteries and veins. The etiology remains controversial and several treatment methods have been described. By understanding the pathogenesis of CAD, we can improve the surgical treatment, reduce recurrence rates, and improve patient outcomes. The objective of this study was to perform a systematic review of the world's literature.
          Article 0 comments Cited 36 times – based on 0 reviews     Review now
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            A case of myxomatous tumour arising in the adventitia of the left external iliac artery; case report.

            H Atkins, Timothy J Key (1947)
            Article 0 comments Cited 34 times – based on 0 reviews     Review now
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              Adventitial cystic disease: a unifying hypothesis.

              L J Levien, C A Benn (1998)
              Six cases of adventitial cystic disease were studied, and the existing theories of the aetiology of adventitial cystic disease were reviewed to present evidence in support of a variation of the developmental hypothesis that might explain the sites of occurrence of this rare condition. Cases of adventitial cystic disease were collected by interrogation of the records of a group of vascular surgeons in the Johannesburg area. After reviewing the relevant literature, the sites of occurrence of 323 cases of adventitial cystic disease were documented, and the theories of the formation of adventitial cystic disease were reviewed. The embryological origin of those vessels in which adventitial cystic disease occurs was investigated. Clinical cases were collected in private practice vascular referral centers. The clinical features, treatment, and subsequent course of six cases of adventitial cystic disease (four related to the popliteal artery, one in the femoral artery, and one in the radial artery) are included. All cases of adventitial cystic disease reported have occurred in the nonaxial arteries, which form at a later stage than the axial vessels during limb differentiation and development. It is therefore postulated that during limb bud development cell rests derived from condensations of mesenchymal tissue destined to form the knee, hip, wrist, or ankle joints are incorporated into the nearby and adjacent nonaxial vessels during development of these vessels in the 15-22-week stage. These newly forming nonaxial vessels develop from vascular plexuses during the same stage of development, and in close proximity to the adjacent condensing joint structures. It is further postulated that these cell rests are then responsible for the formation of adventitial cystic disease later in life, when the mucoid material secreted results in a mass lesion within the arterial or venous wall. There is evidence supporting the hypothesis that adventitial cystic disease is a developmental condition occurring in the nonaxial blood vessels.
              Article 0 comments Cited 33 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Meriem Affes:
                ORCID: https://orcid.org/0000-0002-0130-2954
                meriem.affes@fmt.utm.tn
                Journal
                Journal ID (nlm-ta): Clin Case Rep
                Journal ID (iso-abbrev): Clin Case Rep
                Journal ID (doi): 10.1002/(ISSN)2050-0904
                Journal ID (publisher-id): CCR3
                Title: Clinical Case Reports
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2050-0904
                Publication date (Electronic): 15 April 2022
                Publication date Collection: April 2022
                Volume: 10
                Issue: 4 ( doiID: 10.1002/ccr3.v10.4 )
                Electronic Location Identifier: e05757
                Affiliations
                [ 1 ] Department of Radiology Abderrahmen Mami Hospital Ariana Tunisia
                [ 2 ] Faculty of medicine of Tunis Tunis El Manar University Ariana Tunisia
                [ 3 ] Department of thoracic and Cardiovascular Surgery Abderrahmen Mami Hospital Ariana Tunisia
                Author notes
                [*] [* ] Correspondance

                Meriem Affes, Department of Radiology, Abderrahmen Mami Hospital, Ariana, Tunisia.

                Email: meriem.affes@ 123456fmt.utm.tn

                Author information
                https://orcid.org/0000-0002-0130-2954
                Article
                Publisher ID: CCR35757
                DOI: 10.1002/ccr3.5757
                PMC ID: 9010954
                PubMed ID: 35441026
                SO-VID: 32932fe3-ad93-4d8c-83f5-9514393a5967
                Copyright © © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date revision received : 24 February 2022
                Date received : 06 October 2021
                Date accepted : 28 March 2022
                Page count
                Figures: 5, Tables: 0, Pages: 5, Words: 1974
                Categories
                Subject: Case Report
                Subject: Case Reports
                Custom metadata
                source-schema-version-number 2.0
                cover-date April 2022
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.4 mode:remove_FC converted:15.04.2022

                Keywords: adventitia,cysts,magnetic resonance imaging,popliteal artery,spontaneous remission
                Data availability:
                Keywords: adventitia, cysts, magnetic resonance imaging, popliteal artery, spontaneous remission

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