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Popliteal-artery-entrapment-Syndrom Kasuistik eines 11jährigen Knaben

Popliteal artery entrapment syndrome — a case of an eleven-year old boy

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Abstract

The popliteal entrapment syndrome arises due to a compression of the popliteal artery by tendomuscular structures often combined with an anomal position of the artery. Mostly young men are complaining of this disease. We report about an eleven-year old boy, who had an interview with us because of acute ischaemic symptoms in the left shank. We ensured a popliteal entrapment syndrome type I by Kogel. By a dorsal approach to the fossa poplitea we performed the myotomy and the restoration of the artery into the normal position. Eight month postoperative the boy is without any complaint. In doppler-scan we record an normal arterial flow.

Zusammenfassung

Das popliteale Entrapmentsyndrom ist bedingt durch eine Kompression der A. poplitea durch tendomuskuläre Strukturen, meist gepaart mit einer Lageanomalie der Arterie. Überwiegend leiden junge Männer an diesem Krankheitsbild. Es wird hier über den Fall eines 11jährigen Knaben berichtet, der sich mit akuten ischämischen Beschwerden im linken Unterschenkel vorstellte. Diagnostisch wurde ein popliteales Entrapmentsyndrom Typ I nach Kogel geischert. Therapeutisch erfolgte die dorsale Freilegung der Fossa poplitea mit Myotomie und Normalverlagerung der A. poplitea. Acht Monate nach erfolgter Operation ist der Knabe klinisch beschwerdefrei, es stellt sich dopplersonographisch ein normales arterielles Flußmuster dar.

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Authors and Affiliations

  1. Klinik und Poliklinik für Kinderchirurgie, Universitätsklinikum Carl-Gustav-Carus Technische Universität Dresden, Fetscherstraße 74, D-01307, Dresden, Germany

    G. Fitze & D. Roesner

  2. Abteilung für Kinderradiologie, Universitätsklinikum Carl-Gustav-Carus Dresden, Germany

    H. Taut & E. Rupprecht

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  1. G. Fitze
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  2. D. Roesner
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  3. H. Taut
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  4. E. Rupprecht
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Fitze, G., Roesner, D., Taut, H. et al. Popliteal-artery-entrapment-Syndrom Kasuistik eines 11jährigen Knaben. Langenbecks Arch Surg 382, 393–397 (1997). https://doi.org/10.1007/BF02386627

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  • DOI: https://doi.org/10.1007/BF02386627

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