Speaker Credentials
MDIV
Speaker Credentials
MD
Medical Specialty
General Surgery
Format
Poster
Start Date
November 2024
End Date
November 2024
Track
1
Abstract
Bilateral Popliteal Entrapment Syndrome: A Rare and Challenging Case Report Burgos, Jose Julian, MD, MDIV, HCA Florida Kendall Department of Vascular Surgery Miami, Florida. Llerena, Gabriela2, OMSIV, Nova Southeastern University Dr. Kiran Patel College of Osteopathic Medicine. Rheingold, Spencer, MSIV, Nova Southeastern University Dr. Kiran Patel College of Allopathic Medicine. De La Portilla, Jorge MD, assistant professor, HCA Florida Kendall Department of Vascular Surgery Miami, Florida1 Objective: This case describes an atypical presentation of PES in an older male patient who presented with a sudden onset of symptoms without a history of claudication. Background: Popliteal entrapment syndrome (PES) is a rare condition occurring in less than 4% of the population, commonly occurring in young females. PES is seen to be caused by compression of the neurovascular structures within the popliteal fossa by the tendons or musculature due to an abnormal anatomic relationship. Treatment of PES is typically surgical and dependent on the ultimate cause of the occlusion. Methods: A previously healthy 56-year-old male presented to the Emergency Department with a 1-day history of paresthesia and numbness to the bilateral lower extremities. Upon waking in the morning, the patient reported associated pain and coolness to the right calf. The symptoms improve when he is physically active but worsen when he is sedentary. CT Angiography showed complete occlusion of the right distal superficial femoral artery with no flow to the right popliteal and its branches and significant narrowing leading to complete occlusion of the left popliteal artery. A bilateral femoral embolectomy was performed leading to the reestablishment of blood flow and the resolution of the patient's symptoms. Conclusion: PES is a rare condition whose incidence has been increasing likely due to increased awareness by physicians. While usually seen in young individuals it is important not to rule out the diagnosis in older individuals who present with symptoms or individuals who have no prior history of similar symptoms.
Included in
Biological Phenomena, Cell Phenomena, and Immunity Commons, Cardiovascular System Commons, Medical Anatomy Commons, Medical Physiology Commons, Musculoskeletal Diseases Commons, Musculoskeletal System Commons, Surgery Commons, Surgical Procedures, Operative Commons
Bilateral Popliteal Entrapment Syndrome: A Rare and Challenging Case Report
Bilateral Popliteal Entrapment Syndrome: A Rare and Challenging Case Report Burgos, Jose Julian, MD, MDIV, HCA Florida Kendall Department of Vascular Surgery Miami, Florida. Llerena, Gabriela2, OMSIV, Nova Southeastern University Dr. Kiran Patel College of Osteopathic Medicine. Rheingold, Spencer, MSIV, Nova Southeastern University Dr. Kiran Patel College of Allopathic Medicine. De La Portilla, Jorge MD, assistant professor, HCA Florida Kendall Department of Vascular Surgery Miami, Florida1 Objective: This case describes an atypical presentation of PES in an older male patient who presented with a sudden onset of symptoms without a history of claudication. Background: Popliteal entrapment syndrome (PES) is a rare condition occurring in less than 4% of the population, commonly occurring in young females. PES is seen to be caused by compression of the neurovascular structures within the popliteal fossa by the tendons or musculature due to an abnormal anatomic relationship. Treatment of PES is typically surgical and dependent on the ultimate cause of the occlusion. Methods: A previously healthy 56-year-old male presented to the Emergency Department with a 1-day history of paresthesia and numbness to the bilateral lower extremities. Upon waking in the morning, the patient reported associated pain and coolness to the right calf. The symptoms improve when he is physically active but worsen when he is sedentary. CT Angiography showed complete occlusion of the right distal superficial femoral artery with no flow to the right popliteal and its branches and significant narrowing leading to complete occlusion of the left popliteal artery. A bilateral femoral embolectomy was performed leading to the reestablishment of blood flow and the resolution of the patient's symptoms. Conclusion: PES is a rare condition whose incidence has been increasing likely due to increased awareness by physicians. While usually seen in young individuals it is important not to rule out the diagnosis in older individuals who present with symptoms or individuals who have no prior history of similar symptoms.