Use of contrast ultrasound in differentiating thrombosed pseudoaneurysm from sarcoma, prior to surgery

Radiology Case Reports
Stephen PolanskiKathryn McGillen

Abstract

We describe a case of a 69-year-old male with a right-sided popliteal mass following a motor vehicle accident 15 years ago. The mass was indeterminate via multiple modalities (magnetic resonance imaging, digital subtraction angiography, and vascular ultrasound) with biopsy requested prior to surgical removal to determine the appropriate surgical team - vascular versus sarcoma oncologic surgery. Contrast ultrasound was utilized to determine if biopsy was indicated and if so, to determine the most appropriate target. Contrast ultrasound showed no areas of enhancement, therefore biopsy was not performed and the patient safely proceeded to vascular surgery. Pathology confirmed the mass to be a thrombosed pseudoaneurysm of the popliteal artery. We present the benefits of using contrast ultrasound in the work up and diagnosis of a popliteal neoplasm versus suspected vascular complication.

References

Jul 14, 1998·American Journal of Clinical Pathology·S E Kilpatrick, K R Geisinger
Mar 14, 2007·European Radiology·Emilio Quaia
Sep 17, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mark D MurpheyEric A Walker
Jul 26, 2011·AJR. American Journal of Roentgenology·Michelle C OmuraLeanne L Seeger
Mar 16, 2013·Journal of Vascular Surgery·Alistair MillenRobert K Fisher
Jul 25, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Mittul GulatiVinay A Duddalwar
Sep 4, 2015·World Journal of Gastroenterology : WJG·Luciano TarantinoMatteo Nicola Dario Di Minno
Dec 23, 2016·Clinical Radiology·A ShahR Botchu
Sep 13, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David P BurrowesStephanie R Wilson
Dec 5, 2017·Abdominal Radiology·David T FetzerRichard G Barr
Dec 9, 2017·AJR. American Journal of Roentgenology·Emily H T PangAlison C Harris
Feb 10, 2018·Ultrasound International Open·Christoph F DietrichSue Westerway
Mar 30, 2018·Ultrasound Quarterly·Sriharsha GummadiAndrej Lyshchik
May 16, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Abdulmohsen AlrashedMostafa Atri
Sep 16, 2018·Annals of Vascular Surgery·Jose Manuel Villaescusa CatalánMaría Luisa Cagigal Cobo
Nov 2, 2019·Ultrasonography·Vasileios RafailidisPaul S Sidhu

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsies
biopsy

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Bone and Joint Surgery. American Volume
P FerriterW W Scott
The British Journal of Surgery
S W MacGowanD Bouchier-Hayes
Annals of Surgery
S F SEELEYE J JAHNKE
© 2021 Meta ULC. All rights reserved