2014 Volume 23 Issue 7 Pages 1011-1014
A popliteal venous aneurysm is a rare diagnosis, however it has been frequently recognized to be sources of a pulmonary embolism. A 48-year-old man, previously healthy, was admitted by an acute respiratory disturbance. Computed tomography (CT) showed the bilateral pulmonary emboli and a left popliteal venous aneurysm, 35 mm saccular. He recovered after following conservative treatment. Magnetic resonance imaging and duplex scanning showed a venous aneurysm with an image defect of the left popliteal vein. Aneurysmectomy and end-to-end anastomosis was performed. Although the popliteal venous blood flow has been checked by duplex scanning and enhanced CT, elasticity stocking wear and an anticoagulant therapy were needed for leg edema postoperative half a year, no episodes of pulmonary embolism.
