Popliteal pseudoaneurysm caused by Nora's lesion of the femur in a young child: A rare presentation and first report

Varun K. Bhalla, Hannah Coulson, William Parker, James Wynn, Walter L Pipkin, Charles G Howell, Michael Peter Toscano, Robyn M Hatley

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Bizarre parosteal osteochondromatous proliferation (BPOP), or Nora's lesion, was first described by Nora et al. in 1983 as a rare, tumor-like lesion involving the bones of the hands and feet. Popliteal artery pseudoaneursyms in the pediatric population are also unusual. Here, we present a case of a young male with a popliteal artery pseudoaneurysm and distal femur lesion originally thought to be an osteochondroma. A 10-year old, Caucasian male was referred to our facility following an MRI concerning for a popliteal artery pseudoaneurysm. On physical exam, there was a palpable 5 × 5-cm pulsatile mass in the upper popliteal fossa with a normal pulse exam bilaterally. A computed tomographic angiogram demonstrated a 4.5-cm by 1.8-cm by 3.6-cm pseudoaneurysm adherent to a 3.5-cm thick, exostotic lesion of the posterior right femur. He was taken to the operating room for repair of the popliteal pseudoaneurysm and resection of his bone lesion. The final pathology was consistent with a popliteal pseudoaneurysm, osteochondroma, and bizarre parosteal osteochondromatous proliferation (BPOP), otherwise known as Nora's lesion. The location of the lesion and the age of our patient were both atypical for BPOP and to our knowledge, this represents the first report of a resulting popliteal artery pseudoaneurysm.

Original languageEnglish (US)
JournalJournal of Pediatric Surgery
Volume47
Issue number12
DOIs
StatePublished - Dec 1 2012

Fingerprint

False Aneurysm
Femur
Popliteal Artery
Osteochondroma
Foot Bones
Hand Bones
Operating Rooms
Pulse
Angiography
Pediatrics
Pathology
Bone and Bones
Population
Neoplasms

Keywords

  • Femur
  • Nora's Lesion
  • Osteochondroma
  • Popliteal
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Popliteal pseudoaneurysm caused by Nora's lesion of the femur in a young child : A rare presentation and first report. / Bhalla, Varun K.; Coulson, Hannah; Parker, William; Wynn, James; Pipkin, Walter L; Howell, Charles G; Toscano, Michael Peter; Hatley, Robyn M.

In: Journal of Pediatric Surgery, Vol. 47, No. 12, 01.12.2012.

Research output: Contribution to journalArticle

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