Cases reported "Osteochondroma"

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1/16. Popliteal pseudoaneurysm caused by an adjacent osteochondroma: a case report and review of the literature.

    A male 17-year-old with multiple hereditary exostoses presented with a mass in the distal left thigh several days after lifting weights. An arteriogram showed a popliteal artery pseudoaneurysm adjacent to a femoral osteochondroma. The osteochondroma was excised and the artery was repaired with a saphenous vein interposition graft. A review of the literature identified 23 similar reports. The average age of the patients was 21.3 years. Seventy-eight percent were men and half of the patients had multiple hereditary exostoses. Ten patients were initially misdiagnosed. The clinician should consider the diagnosis of pseudoaneurysm in a young patient with an osteochondroma and a mass about the knee.
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2/16. Pseudoaneurysm of the popliteal artery caused by exostosis of the femur: case report and review of the literature.

    A 13-year-old boy with a solitary exostosis of the left femur was seen with a pseudo-aneurysm of the popliteal artery. When left leg pain occurred 3 months earlier, radiographic examination revealed an exostosis with a cartilage cap. Serial radiographic examination demonstrated gradual disruption of the cartilage cap of the exostosis as the pseudoaneurysm developed. An exostosis with an irregular surface was found at surgery. A literature review disclosed 39 similar cases in which loss of the cartilage cap was considered as one of the causes of the aneurysm formation. Considering the clinical course of our patient, however, we believe that exostoses lose their cartilage caps by pressure destruction due to the aneurysms. It is highly probable that loss of the cartilage does not cause the aneurysms.
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3/16. Osteochondroma as a causal agent in popliteal artery pseudoaneurysms: case report and literature review.

    Osteochondromas are an infrequent, but significant, source of vascular injuries. popliteal artery pseudoaneurysms are the most common sequelae, with a complex interplay of anatomic and developmental factors accounting for their prevalence. The authors present a case report, detailed discussion, and literature review of pseudoaneurysm formation in the popliteal artery.
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4/16. Popliteal pseudoaneurysm simulating soft-tissue sarcoma: complication of osteochondroma resection.

    Pseudoaneurysm complicating osteochondroma is extremely rare. We describe a pseudoaneurysm in the popliteal fossa of a 21-year-old man, occurring 5 years after apparently incomplete resection of an osteochondroma at that site. We found magnetic resonance imaging and magnetic resonance angiography to be of great diagnostic value. Resection of the pseudoaneurysm and anastomosis of the popliteal artery were successful, with no recurrence detected for almost 7 years since the operation.
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5/16. Pseudoaneurysm complicating osteochondromas: symptom relief with embolization.

    Pseudoaneurysm is a recognized vascular complication of osteochondromas. The diagnosis is confirmed by various imaging techniques including ultrasound, magnetic resonance imaging, and conventional angiography. Surgical repair and excision of the adjacent osteochondroma is considered the treatment of choice. The authors report a case of successful transarterial embolization using helical microcoils in the treatment of osteochondroma-related pseudoaneurysm of the superficial femoral artery. It resulted in complete obliteration of blood flow to the pseudoaneurysm and good symptomatic relief before subsequent semielective surgery. No complication was encountered during the procedure. Transarterial embolization is a safe mode of treatment in experienced hands. In patients with contraindications to surgery, embolization may be considered a definitive treatment.
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6/16. Postraumatic popliteal pseudoaneurysm from femoral osteochondroma: case report and review of the literature.

    Osteochondroma is the most frequent bone tumor and can be responsible for vascular complications. The case of an 14-year-old boy with a popliteal pseudoaneurysm after a blunt trauma is presented. The diagnosis and treatment of this condition is discussed, and the English-language literature is reviewed.
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7/16. popliteal artery pseudoaneurysm caused by osteochondroma.

    A 49-year-old man with asymptomatic osteochondroma was found to have a pseudoaneurysm of the left popliteal artery. An angiography showed a popliteal artery pseudoaneurysm adjacent to a femoral osteochondroma. The osteochondroma was excised and the popliteal artery containing the tear was also excised by end-to-end anastomosis. Vascular complication of osteochondroma is extremely rare. Paul reported the first case of a popliteal artery pseudoaneurysm due to osteochondroma in 1953. A computerized literature search revealed 40 additional cases reported in English, providing sufficient detail to allow comparison. The average age of the patients was 22.6 years (range 9-51) and most cases identified involved males (30 of 41, 73%). Most pseudoaneurysm were located in the popliteal artery. This report discusses the authors' experience with this disorder and a review of the literature in English.
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8/16. A rare brachial artery pseudoaneurysm 13 years after excision of a humeral osteochondroma.

    Pseudoaneurysms resulting from vascular impingement by osteochondromas are extremely rare. The authors detail the case of a 19-year-old man who represents the third known report in the English literature of a brachial artery pseudoaneurysm associated with a humeral osteochondroma. In patients presenting with a painful upper arm mass and a history of multiple hereditary exostoses, one must have a high index of suspicion for pseudoaneurysm.
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9/16. Popliteal pseudoaneurysm secondary to a tibial osteochondroma: diagnosis with multi-detector row computed tomographic angiography.

    A 17-year-old male presented with right knee pain following mild trauma whilst playing badminton. He subsequently developed a popliteal pseudoaneurysm secondary to trauma from a tibial osteochondroma. This is a recognised though very rare occurrence. Its appearance is reported for the first time using multidetector row computed tomographic angiography (MDCTA). The clinical presentation and management of the popliteal pseudoaneurysm are outlined and the imaging findings are illustrated. There is increasing usefulness of MDCTA as an accessible, accurate, noninvasive clinical tool in the emergency diagnostic setting. Its use in the management of this unusual condition is demonstrated with emphasis on 3D, multi-planar reconstruction post-processing techniques.
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10/16. Pseudoaneurysm associated with multiple osteochondromatosis.

    The authors present a case of a 12-year-old boy with a known family history of multiple hereditary exostoses who presented with knee swelling. physical examination and subsequent workup revealed a pseudoaneurysm associated with an osteochondroma. We present this interesting case and review the literature.
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