Adventitial Cystic Disease of the Radial Artery

Upper extremity adventitial cystic disease is rare, but the characteristic findings of this lesion should be known to the hand surgeon and used to guide treatment. We present a case of a young adult male who developed a painless mass in his distal forearm. Diagnostic imaging workup revealed a cystic mass that extended within and encased the radial artery. Both MRI and direct intraoperative visualization confirmed the presence of a stalk connecting the intra-mural radial artery mass to the radiocarpal joint. The mass and stalk were excised en bloc with fenestration of the volar capsule to prevent recurrence. This case demonstrates a less common example of upper extremity adventitial cystic disease and supports the articular theory of origin of these lesions. When surgical excision is performed, an attempt should be made to identify and excise the articular stalk in an effort to minimize risk of recurrence.

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Adventitial cystic disease of the radial artery

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.012617 ◽

2018 ◽

Vol 17 (2) ◽

pp. 160-164 ◽

Cited By ~ 1

Author(s):

Adriano Carvalho Guimarães ◽

Ricardo Herkenhoff Moreira ◽

Walter Junior Boim de Araujo

Keyword(s):

Chronic Kidney Disease ◽

Renal Replacement Therapy ◽

Radial Artery ◽

Cystic Lesion ◽

White Male ◽

Rare Condition ◽

Cystic Disease ◽

Adventitial Cystic Disease ◽

Appropriate Treatment ◽

History Of

Abstract Adventitial cystic disease (ACD) of the radial artery is a rare condition, with few cases described in the literature. We report the case of a 62-year-old white male with a history of diabetes, hypertension, and chronic kidney disease with indications for renal replacement therapy who was found to have a cystic lesion of the radial artery while undergoing surgical creation of an arteriovenous fistula. The surgical technique adopted was resection of the cystic segment and preservation of the radial artery. Fistula creation was completed successfully. Early diagnosis and appropriate treatment of ACD are effective, and can prevent complications and recurrence.

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A case of an asymptomatic sacrococcygeal teratoma diagnosed in adulthood

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa462 ◽

2020 ◽

Vol 2020 (11) ◽

Author(s):

Ali P Mourad ◽

Marie Shella De Robles ◽

Sandra O’Toole ◽

Elizabeth Paver ◽

Robert D Winn

Keyword(s):

Incidental Finding ◽

Surgical Excision ◽

Cystic Mass ◽

Sacrococcygeal Teratoma ◽

Presacral Space ◽

En Bloc ◽

Positron Emission ◽

Congenital Tumours ◽

Prostatic Epithelium ◽

Pet Scans

Abstract Sacrococcygeal teratomas are rare congenital tumours that are even more uncommon when present in adulthood. They are derived from residual stem cells in the presacral space that differentiate into clusters of somatic cell. We present the diagnosis, management and post-operative follow-up in a 37-year-old gentleman referred to our department with an incidental finding of a lobulated presacral cystic mass on computed tomography imaging. Magnetic resonance imaging and fluorodeoxyglucose (FDG)-positron emission tomography (PET) scans were performed to further characterize the lesion. The decision was then made for surgical excision and the specimen along with the coccyx was retrieved en-bloc via a trans-sacral surgical approach. Histopathology of the mass uncovered the presence of squamous, respiratory and prostatic epithelium consistent with the diagnosis of a sacrococcygeal teratoma.

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Adventitial cystic disease of radial artery. Apropos of a case and review of literature

Cardiovascular Pathology ◽

10.1016/j.carpath.2017.05.001 ◽

2017 ◽

Vol 29 ◽

pp. 33-36 ◽

Cited By ~ 3

Author(s):

Álvaro Torres-Blanco ◽

Luis Ariel Pepén-Moquete ◽

Vicente Molina-Nácher ◽

Francisco Gómez-Palonés

Keyword(s):

Radial Artery ◽

Cystic Disease ◽

Review Of Literature ◽

Adventitial Cystic Disease

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Adventitial Cystic Disease of the External Iliac Artery - A Case Report

Swiss Surgery ◽

10.1024/1023-9332.7.2.90 ◽

2001 ◽

Vol 7 (2) ◽

pp. 90-94 ◽

Cited By ~ 4

Author(s):

Heim ◽

Rosso

Keyword(s):

Case Report ◽

Iliac Artery ◽

External Iliac Artery ◽

Cystic Disease ◽

Adventitial Cystic Disease ◽

Präoperative Abklärung

Die zystische Degeneration der Adventitia (ZAD) in der A.iliaca externa ist mit zehn in der Literatur beschriebenen Fällen ein seltenes Phänomen. Eine rasch auftretende, einseitige Ischämiesymptomatik bei jungen Patienten sollte daran denken lassen und eine erweiterte präoperative Abklärung zur Folge haben. Die klassische Therapie mit Gefässresektion und Veneninterponat wird seit jeher kontrovers diskutiert. Wir berichten über einen Fall mit rezidivfreiem Verlauf über drei Jahre nach Exarterektomie.

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Para-spermatic cord proximal-type epithelioid sarcoma

BMJ Case Reports ◽

10.1136/bcr-2019-232385 ◽

2021 ◽

Vol 14 (1) ◽

pp. e232385

Author(s):

Jessica Farnan ◽

Ellen Morrison ◽

Derek Barrry Hennessey

Keyword(s):

Spermatic Cord ◽

Median Overall Survival ◽

Palliative Chemotherapy ◽

Epithelioid Sarcoma ◽

Palliative Radiotherapy ◽

Surgical Excision ◽

Radical Excision ◽

First Line ◽

Left Groin ◽

Painless Mass

Proximal-type epithelioid sarcoma is an ultra-rare, high-grade soft tissue malignancy usually presenting as a deep-seated painless mass in the proximal extremities. Most patients are diagnosed as young adults, between 20 and 40 years of age. Perineal and genital masses do occur but are extremely rare and represent a challenging tumour to diagnose and treat. Early radical excision is recommended due to its aggressive behaviour and poor prognosis. Median overall survival from initial diagnosis is 30 months. We present the case of a 22-year-old man with a left groin proximal-type epithelioid sarcoma who is sadly deceased 12 months after initial presentation despite early surgical excision, completion of both first-line and palliative chemotherapy, and palliative radiotherapy.

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Huge retrovesical hydatid cyst with pelvic localization as the primary site: a case report

Acta Radiologica ◽

10.1080/02841850701422138 ◽

2007 ◽

Vol 48 (8) ◽

pp. 918-920 ◽

Cited By ~ 2

Author(s):

A. M. Halefoglu ◽

A. Yasar

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Case Report ◽

Hydatid Cyst ◽

Cystic Mass ◽

Primary Site ◽

Cystic Disease ◽

The World ◽

Indirect Hemagglutination ◽

Indirect Hemagglutination Test

We present a patient with symptoms of abdominal pain and frequent urination due to a huge mass in the retrovesical region. All imaging modalities revealed a cystic mass containing small daughter cysts located between the urinary bladder and rectum. Its characteristics led us to suspect the presence of a hydatid cyst, and an indirect hemagglutination test for Echinococcus granulosus was found positive. No other involvement of hydatid cystic disease was detected. The primary site for the hydatid disease was therefore regarded as the pelvis, on which only a few cases have been reported previously. The patient started albendazole therapy, but refused operation. Hydatid cyst should always be considered in the differential diagnosis of abdominopelvic masses in endemic regions of the world.

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Percutaneous Radial Artery Access for Peripheral Vascular Interventions Is a Safe Alternative for Upper Extremity Access

Journal of Vascular Surgery ◽

10.1016/j.jvs.2021.11.076 ◽

2021 ◽

Author(s):

Scott R. Levin ◽

Sarah J. Carlson ◽

Alik Farber ◽

Jeffrey A. Kalish ◽

Elizabeth G. King ◽

...

Keyword(s):

Upper Extremity ◽

Radial Artery ◽

Peripheral Vascular ◽

Safe Alternative

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Groin Flap for Salvage of Upper Extremity Following Necrotizing Fasciitis: A Case Report

Canadian Journal of Plastic Surgery ◽

10.1177/229255030501300301 ◽

2005 ◽

Vol 13 (3) ◽

pp. 153-155

Author(s):

Chenicheri Balakrishnan ◽

Venkata S Erella ◽

Shawn Vandemark ◽

Jason Mussman

Keyword(s):

Upper Extremity ◽

Soft Tissues ◽

Skin Grafting ◽

Surgical Excision ◽

Soft Tissue Infections ◽

Significant Morbidity ◽

Groin Flap ◽

Necrotizing Soft Tissue Infections ◽

Extensive Debridement ◽

The Common

Necrotizing soft tissue infections are often associated with significant morbidity and mortality Early surgical excision along with antibiotic therapy is the cornerstone of management. Salvage of these extremities is often difficult due to loss of soft tissues, tendons, nerves and blood vessels. Skin grafting of the granulating wound is the common method of closure in these patients. Use of various flaps has improved reconstructive options in these extremities. A case of salvage of upper extremity using a groin flap following extensive debridement is reported.

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