Vascular complications of tibial exostosis: A case of popliteal vein thrombosis
Tibial exostosis, also known as osteochondroma, is a common benign bone tumor found predominantly in adolescents and young adults. Vascular complications associated with this tumor, such as arterial occlusion and pseudoaneurysm formation, are rare but can lead to significant morbidity if not promptl...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-07-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324003017 |
| _version_ | 1797199829383774208 |
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| author | Zied Mansi Mohamed Taghouti Mohsen Chamakh Islem Chneti Hedi Rbai Wajdi Chermiti Ali Haggui Bacem Zaidi Wael Gazzah |
| author_facet | Zied Mansi Mohamed Taghouti Mohsen Chamakh Islem Chneti Hedi Rbai Wajdi Chermiti Ali Haggui Bacem Zaidi Wael Gazzah |
| author_sort | Zied Mansi |
| collection | DOAJ |
| description | Tibial exostosis, also known as osteochondroma, is a common benign bone tumor found predominantly in adolescents and young adults. Vascular complications associated with this tumor, such as arterial occlusion and pseudoaneurysm formation, are rare but can lead to significant morbidity if not promptly diagnosed and managed. We present a case of a 25-year-old patient who presented with thrombosis of the left popliteal vein and a painless swelling in the popliteal fossa. Radiographic and CT angiography revealed an exostosis on the proximal tibia causing arterial occlusion and venous compression. Surgical resection of the exostosis via a posterior knee approach resulted in successful resolution of symptoms and a favorable outcome at a 12-month follow-up. Histopathological examination confirmed the benign nature of the tumor with no evidence of malignant transformation. This case highlights the importance of prompt recognition and surgical intervention in managing vascular complications associated with tibial exostosis. A multidisciplinary approach involving orthopedic and vascular specialists is crucial for achieving optimal outcomes in such cases. |
| first_indexed | 2024-04-24T07:21:58Z |
| format | Article |
| id | doaj.art-59498620154b430489d65c1289e6fc21 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-24T07:21:58Z |
| publishDate | 2024-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-59498620154b430489d65c1289e6fc212024-04-21T04:14:22ZengElsevierRadiology Case Reports1930-04332024-07-0119727812784Vascular complications of tibial exostosis: A case of popliteal vein thrombosisZied Mansi0Mohamed Taghouti1Mohsen Chamakh2Islem Chneti3Hedi Rbai4Wajdi Chermiti5Ali Haggui6Bacem Zaidi7Wael Gazzah8Department of Orthopedic Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Orthopedic Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Orthopedic Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Orthopedic Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Orthopedic Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Orthopedic Surgery, SAHLOUL University Hospital, Sousse, TunisiaDepartment of Orthopedic Surgery, Hospital of Kasserine, Kasserine, TunisiaDepartment of General Surgery, IBN EL JAZZAR University Hospital, Kairouan, TunisiaDepartment of Urology, IBN EL JAZZAR University Hospital, Kairouan, TunisiaTibial exostosis, also known as osteochondroma, is a common benign bone tumor found predominantly in adolescents and young adults. Vascular complications associated with this tumor, such as arterial occlusion and pseudoaneurysm formation, are rare but can lead to significant morbidity if not promptly diagnosed and managed. We present a case of a 25-year-old patient who presented with thrombosis of the left popliteal vein and a painless swelling in the popliteal fossa. Radiographic and CT angiography revealed an exostosis on the proximal tibia causing arterial occlusion and venous compression. Surgical resection of the exostosis via a posterior knee approach resulted in successful resolution of symptoms and a favorable outcome at a 12-month follow-up. Histopathological examination confirmed the benign nature of the tumor with no evidence of malignant transformation. This case highlights the importance of prompt recognition and surgical intervention in managing vascular complications associated with tibial exostosis. A multidisciplinary approach involving orthopedic and vascular specialists is crucial for achieving optimal outcomes in such cases.http://www.sciencedirect.com/science/article/pii/S1930043324003017OsteochondromaPopliteal artery occlusionPopliteal vein thrombosisTreatment, Tibial exostosis |
| spellingShingle | Zied Mansi Mohamed Taghouti Mohsen Chamakh Islem Chneti Hedi Rbai Wajdi Chermiti Ali Haggui Bacem Zaidi Wael Gazzah Vascular complications of tibial exostosis: A case of popliteal vein thrombosis Radiology Case Reports Osteochondroma Popliteal artery occlusion Popliteal vein thrombosis Treatment, Tibial exostosis |
| title | Vascular complications of tibial exostosis: A case of popliteal vein thrombosis |
| title_full | Vascular complications of tibial exostosis: A case of popliteal vein thrombosis |
| title_fullStr | Vascular complications of tibial exostosis: A case of popliteal vein thrombosis |
| title_full_unstemmed | Vascular complications of tibial exostosis: A case of popliteal vein thrombosis |
| title_short | Vascular complications of tibial exostosis: A case of popliteal vein thrombosis |
| title_sort | vascular complications of tibial exostosis a case of popliteal vein thrombosis |
| topic | Osteochondroma Popliteal artery occlusion Popliteal vein thrombosis Treatment, Tibial exostosis |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324003017 |
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