Intermittent claudication caused by a giant atypical lipoma of the thigh

J Vasc Surg. 2012 Sep;56(3):808-11. doi: 10.1016/j.jvs.2012.03.242. Epub 2012 May 10.

Abstract

The main cause of intermittent claudication in lower limbs is peripheral vascular disease. Less commonly, the etiology can be extrinsic to vascular structures, as in the cases of tumors that, due to their rapid growth, can reduce the blood supply and produce intermittent claudication during gait. We report the case of a 49-year-old patient with intermittent claudication in the left lower limb, reporting the presence of a tumor in the inner side of the left thigh with rapid growth. Doppler and angiography magnetic resonance imaging examinations demonstrated the presence of an adipose tumor that was producing deep and superficial extrinsic compression of the femoral arteries.

Publication types

  • Case Reports

MeSH terms

  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / etiology*
  • Arterial Occlusive Diseases / physiopathology
  • Constriction, Pathologic
  • Female
  • Femoral Artery* / diagnostic imaging
  • Femoral Artery* / pathology
  • Femoral Artery* / physiopathology
  • Hemodynamics
  • Humans
  • Intermittent Claudication / diagnosis
  • Intermittent Claudication / etiology*
  • Intermittent Claudication / physiopathology
  • Lipoma / complications*
  • Lipoma / diagnosis
  • Lipoma / surgery
  • Magnetic Resonance Angiography
  • Middle Aged
  • Predictive Value of Tests
  • Soft Tissue Neoplasms / complications*
  • Soft Tissue Neoplasms / diagnosis
  • Soft Tissue Neoplasms / surgery
  • Thigh / blood supply*
  • Treatment Outcome
  • Tumor Burden
  • Ultrasonography, Doppler, Duplex