Use of contrast ultrasound in differentiating thrombosed pseudoaneurysm from sarcoma, prior to surgery

Stephen Polanski, Cristy French, Maria Camila Castello Ramirez, Kathryn McGillen

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a case of a 69-year-old male with a right-sided popliteal mass following a motor vehicle accident 15 years ago. The mass was indeterminate via multiple modalities (magnetic resonance imaging, digital subtraction angiography, and vascular ultrasound) with biopsy requested prior to surgical removal to determine the appropriate surgical team – vascular versus sarcoma oncologic surgery. Contrast ultrasound was utilized to determine if biopsy was indicated and if so, to determine the most appropriate target. Contrast ultrasound showed no areas of enhancement, therefore biopsy was not performed and the patient safely proceeded to vascular surgery. Pathology confirmed the mass to be a thrombosed pseudoaneurysm of the popliteal artery. We present the benefits of using contrast ultrasound in the work up and diagnosis of a popliteal neoplasm versus suspected vascular complication.

Original languageEnglish (US)
Pages (from-to)1532-1537
Number of pages6
JournalRadiology Case Reports
Volume15
Issue number9
DOIs
StatePublished - Sep 2020

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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