Mathew J. A case of popliteal artery entrapment in an active duty soldier. J Case Rep Images Med 2018;4:100046Z09JM2018.
Introduction: Popliteal Artery Entrapment Syndrome (PAES) is a less considered entity in active patients presenting with exertional lower extremity pain with associated claudication. Median time to diagnosis can be as high as 12 months and delay in surgical intervention can lead to increased morbidity. After treatment, recovery is promising with most patients returning to cardiovascular activity after three months.
Case Report: We present the case of a 27-year-old active duty Caucasian male who initially presented for exertional right greater than left leg pain and was found on testing in the clinic to have absent distal extremity pulses with exercise. CT imaging revealed evidence of popliteal artery entrapment and surgical intervention was later pursued. We focus on the difficulty in diagnosing the condition given the plethora of other conditions that can present similarly. Furthermore, we discuss diagnostic modalities available along with management options available to the primary care physician.
Conclusion: It is important to have a high index of suspicion for PAES in patients presenting with exertional claudication in the lower extremity and to understand what immediate testing can be done in the clinic and after evaluation, that can aid in diagnosis and management.
Jacob Mathew – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.