An uncommon case of acute lower limb ischemia

https://doi.org/10.4081/itjm.2019.1131
  • Maria Viviana Carlino | vivianacarlino@yahoo.it Emergency Department, C.T.O. Hospital, Naples, Italy.
  • Paola Ieranò Emergency Department, C.T.O. Hospital, Naples, Italy.
  • Mario Venafro Emergency Department, C.T.O. Hospital, Naples, Italy.
  • Claudia Sara Cimmino Emergency Department, C.T.O. Hospital, Naples, Italy.
  • Costantino Mancusi Hypertension Research Center, Federico II University, Naples, Italy.
  • Francesco Lassandro Department of Radiology Monaldi Hospital, Naples, Italy.
  • Pierluigi Angelini Department of General Surgery, Monaldi-C.T.O. Hospital, Naples, Italy.
  • Alfonso Sforza Emergency Department, C.T.O. Hospital, Naples, Italy.
  • Mario Guarino Emergency Department, C.T.O. Hospital, Naples, Italy.

Abstract

We describe a case of a 76-year-old woman who presented to the Emergency Department with right lower limb pain after a fall. One hour after the admission to the Emergency Department, the patient presented all the signs and symptoms of acute limb ischemia. The patient underwent contrast-enhanced computed tomographic scan of abdomen and right lower limb that showed a large abdominal lesion suggestive of ovarian cancer compressing the right common iliac artery and a visible thrombus and ruptured plaque in this artery. We hypothesized that the acute limb ischemia caused by thrombosis in situ arose from acute plaque rupture probably due to the impact of the large abdominal mass on the artery during patient’s fall.

Downloads

Download data is not yet available.
Published
2019-09-06
Issue
Vol 13 No 3 (2019)
Section
Imaging in Internal Medicine
Keywords:
Abdominal mass, ovarian cancer, emergency department, point-of-care ultrasound.
Statistics
Abstract views: 245

PDF: 189
HTML: 10
Share it

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

How to Cite
Carlino, M. V., Ieranò, P., Venafro, M., Cimmino, C. S., Mancusi, C., Lassandro, F., Angelini, P., Sforza, A., & Guarino, M. (2019). An uncommon case of acute lower limb ischemia. Italian Journal of Medicine, 13(3), 185-186. https://doi.org/10.4081/itjm.2019.1131

Copyright (c) 2019 Maria Viviana Carlino, Paola Ieranò, Mario Venafro, Claudia Sara Cimmino, Costantino Mancusi, Francesco Lassandro, Pierluigi Angelini, Alfonso Sforza, Mario Guarino

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.