[Acute lower limb ischemia secondary to femoral osteochondroma]

J Med Vasc. 2019 May;44(3):213-215. doi: 10.1016/j.jdmv.2019.02.002. Epub 2019 Mar 12.
[Article in French]

Abstract

Osteochondromas or bone exostoses are bone tumors commonly found in adolescents or young adults. These benign tumors are usually incidentally discovered, exceptionally by a vascular or nervous complication. We report the case of a 22-year-old patient presenting with left femoral exostosis revealed by an acute ischemia of the lower limb. Clinical examination of the contralateral limb was without abnormality. Computed tomography angiography revealed a thrombosed aneurysm of the supra articular popliteal artery associated to an exostosis of the lower extremity of the femur. Surgical treatment was recommended in this patient: resection of the popliteal aneurysm associated with a end-to-end suture of the popliteal artery and resection of bone exostosis.

Keywords: Anévrisme poplité; Ischemia; Ischémie aiguë; Osteochondroma; Ostéochondrome; Popliteal aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aneurysm / diagnostic imaging
  • Aneurysm / etiology*
  • Aneurysm / physiopathology
  • Aneurysm / surgery
  • Femoral Neoplasms / complications*
  • Femoral Neoplasms / diagnostic imaging
  • Femoral Neoplasms / surgery
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology*
  • Ischemia / physiopathology
  • Ischemia / surgery
  • Lower Extremity / blood supply*
  • Osteochondroma / complications*
  • Osteochondroma / diagnostic imaging
  • Osteochondroma / surgery
  • Popliteal Artery* / diagnostic imaging
  • Popliteal Artery* / physiopathology
  • Popliteal Artery* / surgery
  • Regional Blood Flow
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology*
  • Thrombosis / physiopathology
  • Thrombosis / surgery
  • Treatment Outcome
  • Young Adult