The authors report a case of bilateral popliteal amyloidoma causing stenosi
s of the popliteal artery and vein. This patient had been treated with hemo
dialysis for 26 years. The diagnosis was made with MR angiography. A poplit
eal tumor of the right knee was resected surgically and the histologic exam
ination showed deposition of amyloid. After resecting the popliteal tumor,
the severe leg pain and intermittent claudication improved. This report sug
gests that popliteal amyloid tumors should be considered in a patient under
going long-term hemodialysis who complains of leg pain and intermittent cla
udication.