Cystic adventitial disease of the popliteal artery: an infrequent cause of intermittent claudication

<p></p><p>Intermittent claudication is frequently associated with atherosclerotic disease, but differential diagnosis must be sought in patients with no traditional risk factors. Cystic adventitial disease, of unknown etiology, most frequently affects the popliteal artery, and occasionally presents as intermittent claudication. We report a case of this disease and the surgical treatment, and discuss some aspects related to etiopathogenesis, diagnosis and treatment of this condition.</p><p></p

The therapeutic challenge of giant splenic artery aneurysm: a case repport

<div><p>ABSTRACT Giant splenic artery aneurysm is a rare condition that represents an eminent life threatening for the patient, requiring, therefore, urgent surgical correction. A 61-year-old woman, former smoker, hypertensive, hypercholesterolemic and multipara sought our service because of a large tumor in the mesogastrium, which was an abdominal ultrasound finding. Despite the size of the tumor, the patient was asymptomatic. The angiotomography and the magnetic resonance image of the abdomen were suggestive of giant splenic artery aneurysm with more than 10cm in diameter that was confirmed by an angiography. She underwent surgery, open splenectomy, and partial aneurysmectomy. The approach of the celiac artery, which was ligated, was only possible with medialvisceral rotation because there was no possibility to view it through the anterior access. The histopathological test of aneurysmatic wall revealed atheroma plaques in the intima. The patient progressed without complications and she was discharged cured. In general, giant splenic artery aneurysms are symptomatic, however, as in the case we report, it may be asymptomatic and found in abdominal imaging exam. Although less invasive Interventional methods exist, such as laparoscopy and endovascular techniques, they were considered inappropriate in this case. Conventional open surgery should be the therapy of choice for a giant splenic artery aneurysm.</p></div

Level of physical activity among men with and without erectile dysfunction (n = 20,789).

Level of physical activity among men with and without erectile dysfunction (n = 20,789).</p

Relative frequencies (%) of urological comorbidities in relation to ED (n = 20,789).

Relative frequencies (%) of urological comorbidities in relation to ED (n = 20,789).</p

Laboratory test results in relation to ED (n = 20,789).

Laboratory test results in relation to ED (n = 20,789).</p

Relative frequencies (%) of comorbidities in relation to ED (n = 20,789).

Relative frequencies (%) of comorbidities in relation to ED (n = 20,789).</p

Comparison of demographic and clinical variables in relation to ED (n = 20,789).

Comparison of demographic and clinical variables in relation to ED (n = 20,789).</p

International physical activity questionnaire—short form.

(PDF)</p

Predictors of ED (n = 20,789).

(DOCX)</p

Predictors of ED (n = 20,789).

Predictors of ED (n = 20,789).</p