An uncommon case of acute lower limb ischemia

  • 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.

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Published
2019-09-06
Section
Imaging in Internal Medicine
Keywords:
Abdominal mass, ovarian cancer, emergency department, point-of-care ultrasound.
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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