Cystic adventitial disease of the popliteal artery with spontaneous regression Masatoshi Jibiki, MD, PhD, Tetsuro Miyata, MD, PhD, Hiroshi Shigematsu,

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Cystic adventitial disease of the popliteal artery with spontaneous regression Masatoshi Jibiki, MD, PhD, Tetsuro Miyata, MD, PhD, Hiroshi Shigematsu, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 2, Pages 136-139 (June 2018) DOI: 10.1016/j.jvscit.2018.01.006 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Contrast-enhanced computed tomography (CT) on the initial visit revealed a so-called hourglass appearance, which is a typical finding of cystic adventitial disease (CAD). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 136-139DOI: (10.1016/j.jvscit.2018.01.006) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 Contrast-enhanced computed tomography (CT) on the initial visit (1A-1C). CT revealed a cystic lesion in the right popliteal arterial wall occupying the intravascular lumen as well as multilocular cysts between the popliteal artery and femur. Seven weeks later, contrast-enhanced CT was performed again, revealing that cystic adventitial disease (CAD) of the popliteal artery had nearly disappeared. Although ring-thickened adventitia was observed, the popliteal artery was not stenotic and now showed cystic compression. Furthermore, the multilocular cysts between the popliteal artery and femur had become less prominent (2A-2C). Follow-up CT 10 months later showed that CAD had drastically diminished, and the multilocular cysts were also less prominent (3A-3C). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 136-139DOI: (10.1016/j.jvscit.2018.01.006) Copyright © 2018 The Author(s) Terms and Conditions