Résumé
A claudicação intermitente está frequentemente associada à doença aterosclerótica, mas diagnósticos diferenciais devem ser pesquisados em pacientes sem fatores de risco tradicionais. A doença cística adventicial, de etiologia incerta, acomete em maior proporção a artéria poplítea e, eventualmente, apresenta-se como claudicação intermitente. Apresentamos um caso da doença e seu manejo cirúrgico, e discutimos a etiopatogenia, os aspectos diagnósticos e terapêuticos da enfermidade.
Intermittent claudication is frequently associated with atherosclerotic disease, but differential diagnosis must be sought in patients with no traditional risk factors. Cystic adventitial disease, of unknown etiology, most frequently affects the popliteal artery, and occasionally presents as intermittent claudication. We report a case of this disease and the surgical treatment, and discuss some aspects related to etiopathogenesis, diagnosis and treatment of this condition.
Sujets)
Humains , Mâle , Adulte d'âge moyen , Adventice , Claudication intermittente/étiologie , Artère poplitée , Maladie artérielle périphérique/complications , Kyste poplité/complications , Adventice/anatomopathologie , Adventice/chirurgie , Claudication intermittente/anatomopathologie , Claudication intermittente/chirurgie , Maladie artérielle périphérique/anatomopathologie , Maladie artérielle périphérique/chirurgie , Artère poplitée/anatomopathologie , Artère poplitée/chirurgie , Kyste poplité/anatomopathologie , Kyste poplité/chirurgieRésumé
An eleven year old, healthy boy with no past history of illness suddenly felt acute excruciating chest pain which was radiating to back, while he was swimming in a private swimming pool. He was immediately transferred to a hospital where he was declared dead on arrival. Autopsy and histopathological findings were suggestive of death was due to extensive advential haemorrhge due to inherent weakness in aortic wall.