Cystic Adventitial Disease
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The patient was a healthy, 41-year-old male who presented with a 3-month history of left calf claudication. Physical examination revealed no mass within the popliteal fossa and normal arterial pulses within the femoral, popliteal, dorsalis pedis and posterior tibial arteries. There was no evidence of ischemia, and the ankle brachial index was normal. Color Doppler ultrasonography (US) of the lower extremity was performed, followed by computer tomography angiography (CTA) and magnetic resonance imaging (MRI) of the lower extremity. The patient underwent surgery as the severity of his symptoms interfered with daily activities. At surgery, the multilobulated cystic lesion was found to be incorporated within the adventitia of the popliteal artery. The evacuation was performed, and the popliteal artery was preserved.

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