scholarly journals Acute Digital Ischemia Associated with Closed Injury

2015 ◽  
Vol 116 (3) ◽  
pp. 239-243 ◽  
Author(s):  
David Janák ◽  
David Ručka ◽  
Jaroslav Kudlička ◽  
Vilém Rohn ◽  
Jaroslav Lindner ◽  
...  
Keyword(s):  
Lower Limb ◽  
Blunt Injury ◽  
Acute Ischemia ◽  
Blunt Injuries ◽  
Rare Phenomenon ◽  
Venous Injury ◽  
Digital Ischemia ◽  
The Right ◽  
Acral Ischemia ◽  
Worse Prognosis

Injury of an artery has a significantly worse prognosis for the patient than a venous injury. Blunt injuries of lower limb digital arteries with the development of acute ischemia present a very rare phenomenon. A crush mechanism with a defect of the non-wetted surface of vessel’s inner part and the development of subsequent thromboischemic lesion is essential for the development of ischemia. We report a blunt injury of the right lower limb in a patient after incorrect stepping with subsequent lesion of digital arteries and the development of acute acral ischemia of the right toes.

Gluteal Compartment Syndrome Following Abdominal Aortic Aneurysm Treatment

2016 ◽  
Vol 15 (4) ◽  
pp. 354-359 ◽  
Author(s):  
Emanuela Viviani ◽  
Anna Maria Giribono ◽  
Donatella Narese ◽  
Doriana Ferrara ◽  
Giuseppe Servillo ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Postoperative Period ◽  
Lower Limb ◽  
Acute Ischemia ◽  
Aorta Aneurysm ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Kissing Stent ◽  
The Right ◽  
Gluteal Compartment Syndrome

Compartment syndrome (CS) is a pathological increase of the interstitial pressure within the closed osseous fascial compartments. Trauma is the most common cause, followed by embolization, burns, and iatrogenic injuries; it usually involves the limbs. The major issue when dealing with CS is the possibility to do an early diagnosis in order to intervene precociously, through a fasciotomy, reducing the risk of tissue, vascular and nervous damage. Although it is an infrequent condition, it is potentially life threatening. In our case report, we present a 59-year-old patient, smoker, affected by hypertension, dyslipidemia, chronic renal failure, and morbid obesity who came at our attention for a 6-cm abdominal aorta aneurysm, treated with an aorto-aortic graft. Within 24 hours from surgery, the patient presented acute ischemia of the right lower limb due to thrombosis of the common iliac artery and underwent the positioning of a kissing stent at the aortic bifurcation. In the immediate postoperative period, a relevant increase in serum creatinine, creatine phosphokinase, and myoglobin value was recorded, associated with clinical presentation of swelling in the right buttock with intense pain. The diagnosis of gluteal CS was confirmed by the measurement of the gluteal compartment pressure, which resulted of 110 mm Hg. The treatment of the CS consisted in gluteal dermofasciotomy, surgical debridement of the buttock, and positioning of negative pressure medication, associated with infusive therapy, avoiding hemodialysis. Because of the epidural anesthesia only later on it was possible to observe a persistent plegia of the right lower limb, which was solved within 1 month of neurological and physical therapy. With our experience, we can state that the CS is an extremely severe complication that can occur in vascular surgeries and it should therefore be kept in mind in the short-term postoperative period in order to guarantee a precocious diagnosis and immediate treatment.

scholarly journals Severe lower limb ischemia by massive arterial thrombosis revealing an acute myeloid leukemia needing for leg amputation: clinical and emotional aspects related to the communication with the patient and his family

2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Paolo D'Angelo ◽  
Calogero Taormina ◽  
Clara Mosa ◽  
Floriana Di Marco ◽  
Fabrizio Valentino ◽  
...  
Keyword(s):  
Acute Myeloid Leukemia ◽  
Lower Limb ◽  
Myeloid Leukemia ◽  
External Iliac Artery ◽  
Acute Ischemia ◽  
Thrombotic Complication ◽  
Emotional Aspects ◽  
The Right ◽  
Leg Amputation ◽  
Acute Myeloid

Large vessel thrombosis is a very rare clinical presentation of acute leukemia, generally associated with coagulopathy, usually characteristic of acute promyelocytic leukemia. A 13- year-old boy with a previously undiagnosed acute myeloid leukemia was referred to our hospital with acute ischemia of the right lower limb due to occlusion of the right external iliac artery, treated with emergency double surgical thromboembolectomy and chemotherapy. The thrombotic complication resulted in leg amputation. Now the boy is well in complete remission, with a good social integration and quality of life, 30 months after completing treatment. The report highlights the crucial role of early diagnosis and subsequent chemotherapy in avoiding amputation. We particularly focused critical and emotional aspects related to the communication about the leg amputation with the patient and his family.

scholarly journals Gangrene of the digits of the right lower limb in a patient with homozygous sickle cell disease and ulcerative colitis

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Angela E. Rankine-Mullings ◽  
Jennifer M. Knight-Madden ◽  
Marvin Reid ◽  
Trevor S. Ferguson
Keyword(s):  
Ulcerative Colitis ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Lower Limb ◽  
Thromboembolic Disease ◽  
Cell Disease ◽  
Digital Ischemia ◽  
Increased Risk ◽  
Inflammatory Bowel ◽  
The Right

Thrombosis may play an important role in the pathophysiology of certain complications of sickle cell disease (SCD). While the association between SCD and ulcerative colitis (UC) is still debatable, inflammatory bowel disease is known to be associated with an increased incidence of thromboembolic disease. We report a case of a 16-year old girl known to have homozygous SCD and also diagnosed with UC who presented with digital ischemia of her right lower limb. This led to gangrene and subsequent amputation of the first, second and third digits of that limb. This case highlights that patients with both UC and SCD may have an increased risk of thromboembolism and raises the question as to whether patients with UC and SCD should be screened for thrombophilia.

Sacral plexus disorder caused by a wooden toothpick in the rectum

2021 ◽  
Vol 14 (1) ◽  
pp. e238690
Author(s):  
Takuro Endo ◽  
Taku Sugawara ◽  
Naoki Higashiyama
Keyword(s):  
Lower Limb ◽  
Spinal Nerve ◽  
Leg Pain ◽  
Sacral Plexus ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Preoperative Ct ◽  
History Of ◽  
History Of Pain ◽  
The Right

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.

scholarly journals Esthetic and Functional Improvement of Asymmetric Lower Limb Overgrowth in a Proteus Syndrome Patient: a Combined Surgical Technique

2021 ◽  
Author(s):  
Francesca Riccardi ◽  
Simone Catapano ◽  
Giuseppe Cottone ◽  
Dino Zilio ◽  
Luca Vaienti
Keyword(s):  
Adipose Tissue ◽  
Lower Limb ◽  
Vascular Malformations ◽  
Functional Improvement ◽  
Proteus Syndrome ◽  
Phosphatase And Tensin Homolog ◽  
Tensin Homolog ◽  
Genetic Mosaicism ◽  
Phosphoinositide 3 Kinase ◽  
The Right

AbstractProteus syndrome is a rare, sporadic, congenital syndrome that causes asymmetric and disproportionate overgrowth of limbs, connective tissue nevi, epidermal nevi, alteration of adipose tissue, and vascular malformations. Genetic mosaicism, such as activating mutations involving protein kinase AKT1, phosphoinositide 3 kinase (PI3-K), and phosphatase and tensin homolog (PTEN), may be important causes of Proteus syndrome. However, many patients have no evidence of mutations in these genes. Currently, the diagnosis is clinical and based on phenotypic features. This article reports a case of Proteus syndrome in a 14-year-old female patient who presented with linear epidermal nevi, viscera anomalies, and adipose tissue dysregulation. She showed an asymmetric progressive overgrowth of the right lower limb after birth bringing relevant functional and esthetic consequences. Therefore, she asked a plastic surgery consultation and a surgical treatment with a combined technique was planned. With our approach, we were able to reduce leg diameter and improve joint mobility reliably and safely with satisfying esthetic results.

Accessory museulus soleus

1926 ◽  
Vol 22 (5-6) ◽  
pp. 511-513
Author(s):  
V. N. Ternovsky ◽  
M. Sadykova
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
Flexor Hallucis Longus ◽  
Posterior Surface ◽  
Flexor Digitorum Longus ◽  
Accessory Muscle ◽  
Peroneus Brevis ◽  
The Right ◽  
Flexor Digitorum

Dissecting the muscles of the right lower limb of an unknown corpse, we found an accessory muscle on the posterior surface of the lower leg. This muscle (see Fig.) Was bordered behind in. soleus and with the tendon m. plantaris, in front - with in. flexor hallucis longus, medially - c m. flexor digitorum longus and laterally - c m. peroneus brevis.

Stren. A case of melorheostosis. (Acta Chirurgica Scandinavica Vol. LXXVIII, Fasc. I-III, S. 94-102)

1937 ◽  
Vol 33 (1) ◽  
pp. 111-111
Author(s):  
V. S. Mayat
Keyword(s):  
Lower Limb ◽  
Lower Leg ◽  
The Right ◽  
Entire Limb

The author reports a case of melorheostosis (osteosclerotic process) in the right lower limb in a 13-year-old girl. The case of the author. fourteenth in literature. With this disease, a significant shortening of the entire limb is found, and 3/4 of the shortening refers to the lower leg, the damaged part of which is more affected.

scholarly journals Exercise induced atrio-ventricular (AV) block during nuclear perfusion stress testing: a case report

2016 ◽  
Vol 70 (1) ◽  
Author(s):  
Filippo Maria Sarullo ◽  
Salvatore Accardo ◽  
Paola D’Antoni ◽  
Annamaria Martino ◽  
Antonio Micari ◽  
...  
Keyword(s):  
Perfusion Imaging ◽  
Stress Testing ◽  
Coronary Intervention ◽  
Exercise Stress ◽  
Drug Eluting Stent ◽  
Acute Ischemia ◽  
Advanced Degree ◽  
Av Block ◽  
Nuclear Myocardial Perfusion Imaging ◽  
The Right

Background. Exercise causes enhanced sympathetic discharge and results in physiologic tachycardia. However, in some patients with a diseased conduction system resulting from acute ischemia, exercise can precipitate heart block. Methods and results. In this report we describe a 51 years old male patient with transient advanced degree atrioventricular (AV) block developed during recovery from exercise stress testing, resolved after the administration of atropine. Nuclear perfusion imaging demostrated stress-induced ischemia of the inferior-apical segments, and recovery of perfusion in the images obtained at rest. Coronarography showed critical stenosis of the right coronary artery, which was treated by percutaneous coronary intervention (PCI) and drug eluting stent (DES) deployment. Conclusion. Nuclear myocardial perfusion imaging provides noninvasive evidence that transient ischemia of the infero- apical segment can result in advanced degree AV block in patient with critical severe right coronary disease.

scholarly journals LIMB SALVAGE AND THE MORTALITY OF ACUTE ISCHEMIA OF THE LOWER LIMB

1996 ◽  
Vol 57 (3) ◽  
pp. 542-546
Author(s):  
Shinsuke MII ◽  
Akira MORI ◽  
Hisanobu SAKATA ◽  
Masakazu ASO ◽  
Shigeru IMAMURA ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Lower Limb ◽  
Acute Ischemia

Lower-Limb Speed and Foot Preference in Children

1995 ◽  
Vol 81 (3_suppl) ◽  
pp. 1115-1118 ◽  
Author(s):  
Misaki Iteya ◽  
Carl Gabbard ◽  
Morihiko Okada
Keyword(s):  
Lower Limb ◽  
Environmental Influences ◽  
Statistical Evidence ◽  
Performance Characteristics ◽  
Gross Motor ◽  
Foot Tapping ◽  
And Performance ◽  
The Right ◽  
A Performance

Foot preference and performance characteristics of gross-motor lower-limb speed of tapping were examined in 606 4- to 6-yr.-olds. Analysis indicated no effect for gender; however, speed of foot tapping increased significantly across the three ages, suggesting an association with selected developmental (neuromuscular) processes. Contrary to earlier reports on handedness, there was no statistical evidence that mixed- or left-footers were at a performance disadvantage compared to right-footers. All groups performed best with the right foot, limb differentiation (right versus left) being significant for the right- and mixed-footed groups. Speculation about maturational and environmental influences is given.

Sign in / Sign up

Export Citation Format

Share Document