Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

An Extra-articular Ganglion Cyst with Multiple Fluid-fluid Levels

Author(s): Semra Duran*, Cem Cuneyt Kose and Servet Guresci

Volume 20, 2024

Published on: 06 October, 2023

Article ID: e080823219538 Pages: 3

DOI: 10.2174/1573405620666230808161059

Price: $65

Abstract

Introduction: Ganglion cysts are the knee’s most common benign soft tissue tumors. Ganglion cysts are seen as multiloculated fluid collections on magnetic resonance imaging (MRI), and fluid-fluid levels are not an expected finding.

Case Presentation: A 36-year-old female patient presented with swelling in her right knee. Magnetic resonance imaging revealed a multiseptated cyst with multiple fluid-fluid levels within the anterior of the right patellar tendon. Open surgical excision was performed, and the pedicle of the cyst was dissected. The histopathology revealed a ganglion cyst with hemorrhage.

Conclusion: The ganglion cysts should be considered in the differential diagnosis of lesions with fluid-fluid levels, in addition to hemangioma, synovial sarcoma, and aneurysmal bone cysts of soft tissues.

[1]
Park SE, Panchal K, Jeong JJ, et al. Extra-articular ganglion cysts around the knee joint. Knee Surg Relat Res 2015; 27(4): 255-62.
[http://dx.doi.org/10.5792/ksrr.2015.27.4.255] [PMID: 26672721]
[2]
Sever C, Malkoç M, Acar T, Turkmen F, Korkmaz O, Oto O. Ganglion cysts in the lateral portal region of the knee after arthroscopy: Report of two cases. Autops Case Rep 2015; 5(4): 71-6.
[http://dx.doi.org/10.4322/acr.2015.023] [PMID: 26894048]
[3]
Burk DL Jr, Dalinka MK, Kanal E, et al. Meniscal and ganglion cysts of the knee: MR evaluation. AJR Am J Roentgenol 1988; 150(2): 331-6.
[http://dx.doi.org/10.2214/ajr.150.2.331] [PMID: 3257320]
[4]
Janzen DL, Peterfy CG, Forbes JR, Tirman PF, Genant HK. Cystic lesions around the knee joint: MR imaging findings. AJR Am J Roentgenol 1994; 163(1): 155-61.
[http://dx.doi.org/10.2214/ajr.163.1.8010203] [PMID: 8010203]
[5]
Marra MD, Crema MD, Chung M, et al. MRI features of cystic lesions around the knee. Knee 2008; 15(6): 423-38.
[http://dx.doi.org/10.1016/j.knee.2008.04.009] [PMID: 18559292]
[6]
Telischak NA, Wu JS, Eisenberg RL. Cysts and cystic-appearing lesions of the knee: A pictorial essay. Indian J Radiol Imaging 2014; 24(2): 182-91.
[http://dx.doi.org/10.4103/0971-3026.134413] [PMID: 25024531]
[7]
Kim JY, Jung SA, Sung MS, Park YH, Kang YK. Extra-articular soft tissue ganglion cyst around the knee: Focus on the associated findings. Eur Radiol 2004; 14(1): 106-11.
[http://dx.doi.org/10.1007/s00330-003-1969-6] [PMID: 12827430]
[8]
James SLJ, Connell DA, Bell J, Saifuddin A. Ganglion cysts at the gastrocnemius origin: A series of ten cases. Skeletal Radiol 2006; 36(2): 139-43.
[http://dx.doi.org/10.1007/s00256-006-0225-y] [PMID: 17061106]
[9]
Krudwig WK, Schulte KK, Heinemann C. Intra-articular ganglion cysts of the knee joint: A report of 85 cases and review of the literature. Knee Surg Sports Traumatol Arthrosc 2004; 12(2): 123-9.
[http://dx.doi.org/10.1007/s00167-003-0372-9] [PMID: 14504717]
[10]
Yilmaz E, Karakurt L, Ozercan I, Ozdemir H. A ganglion cyst that developed from the infrapatellar fat pad of the knee. Arthroscopy 2004; 20(7): e65-8.
[http://dx.doi.org/10.1016/S0749-8063(04)00608-5] [PMID: 15346126]
[11]
Van Dyck P, Vanhoenacker FM, Vogel J, et al. Prevalence, extension and characteristics of fluid-fluid levels in bone and soft tissue tumors. Eur Radiol 2006; 16(12): 2644-51.
[http://dx.doi.org/10.1007/s00330-006-0250-1] [PMID: 16612549]
[12]
Grey AC, Mangham DC, Davies AM, Grimer RJ. Fluid-fluid level in an intraosseous ganglion. Skeletal Radiol 1997; 26(11): 667-70.
[http://dx.doi.org/10.1007/s002560050308] [PMID: 9428076]
[13]
Williams HJ, Davies AM, Allen G, Evans N, Mangham DC. Imaging features of intraosseous ganglia: A report of 45 cases. Eur Radiol 2004; 14(10): 1761-9.
[http://dx.doi.org/10.1007/s00330-004-2371-8] [PMID: 15221263]
[14]
Mao Y, Dong Q, Wang Y. Ganglion cysts of the cruciate ligaments: A series of 31 cases and review of the literature. BMC Musculoskelet Disord 2012; 13(1): 137.
[http://dx.doi.org/10.1186/1471-2474-13-137] [PMID: 22862803]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy