Hydatid disease, though known to occur in most organs and areas of the body, is extremely rare in skeletal muscle. In this article the authors present a case of a primary muscular hydatid cyst, originating from the adductor muscle group, causing obstruction of the femoral artery and vein.
Thromboangiitis obliterans (TAO) is an occlusive vascular disease traditionally known to be almost exclusive to young male smokers. The disease was considered to be extremely rare in women, seen only as isolated, novel case reports in the literature. In the past decade, however, a dramatic increase in the incidence of female TAO has been observed. In this paper the authors report 7 cases of clinically and angiographically verified female TAO. The world literature in regard to the diagnostic criteria, changing incidence, and etiology is reviewed. They conclude that the increased use of tobacco among young women in the past two to three decades is responsible for this dramatic change.
Cervical aortic arch is a rare type of aortic arch anomaly that is presumed to result from persistence of the third aortic arch and regression of the normal fourth arch. Most of the patients with this anomaly are asymptomatic, but symptoms of dysphagia and respiratory distress due to the compression by the vascular ring have been reported. Other findings such as a supraclavicular pulsatile mass, blood pressure discrepancies between the upper limbs, and loss of femoral or opposite-upper-limb pulses with compression of the cervical mass may also be present. In this article a twenty-two-year-old woman with symptomatic cervical aortic arch is presented. The patient had a left cervical pulsatile mass and elevated blood pressure on her right upper limb and was treated surgically with reanastomosis of the aorta.
A case with a saccular iliac venous aneurysm, about 25 cm in diameter, due to a femoral arteriovenous (AV) fistula caused by a stabbing and penetrating injury with forty-one years' duration and an accompanying aneurysmal left iliac artery is reported. The iliac venous aneurysm was pulsatile and diminished by external compression. The diagnosis was made by physical examination and confirmed with angiography, ultrasonography, and computed tomographic scanning. The AV fistula communication was closed, the left iliac aneurysm was repaired, the giant venous aneurysm was resected, and the iliac vein was anastomosed end to end. The follow-up period was nine months. Literature concerning this subject was reviewed.
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