Popliteal artery thrombosis secondary to exostosis of the tibia

This report describes an exceptional case of popliteal artery thrombosis se condary to exostosis of the superior extremity of the superior tibia in a y oung adult. Correct diagnosis was made during re-operation for recurrent th rombosis. Surgical treatment consisted of resection of the bony tumor and v enous bypass to reestablish arterial continuity. Femoropopliteal vascular c omplications of exostosis are rare, with most cases involving arterial aneu rysms or false aneurysms. Differential diagnosis in our young patient took into account the other causes of popliteal thrombosis: entrapped popliteal artery, adventitious cyst, fibrodysplasia, and juvenile arteriopathy. In pa tients with major functional disability, operative treatment is recommended to remove the bony abnormality and repair the arterial lesion.