Acute Limb Ischemia in an 8-Year-Old Patient: A Case Report

被引：1

作者：

Erben, Young ^{[1
]}

Miller, Samuel M. ^{[2
]}

Sumpio, Brandon J. ^{[1
]}

Dillon, Brian J. ^{[3
]}

Lee, Alfred I. ^{[4
]}

Blume, Peter ^{[5
,6
]}

Sumpio, Bauer E. ^{[1
]}

Mena-Hurtado, Carlos ^{[6
]}

机构：

[1] Yale Univ, Sch Med, Sect Vasc & Endovasc Surg, 330 Cedar St,BB204, New Haven, CT 06510 USA

[2] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA

[3] Yale Univ, Sch Med, Sect Radiol & Biomed Imaging, New Haven, CT USA

[4] Yale Univ, Sch Med, Dept Internal Med, Sect Hematol, New Haven, CT 06510 USA

[5] Yale Univ, Sch Med, Dept Orthoped Surg & Anesthesia, New Haven, CT USA

[6] Yale Univ, Sch Med, Dept Cardiovasc Surg, New Haven, CT USA

来源：

ANNALS OF VASCULAR SURGERY | 2018年 / 51卷

关键词：

NEPHROTIC SYNDROME; ARTERIAL THROMBOSIS; THROMBOEMBOLIC COMPLICATIONS; CHILDREN; HYPERCOAGULABILITY; THROMBOLYSIS; GLUCOCORTICOIDS; DEFICIENCIES; PLASMINOGEN; COAGULATION;

D O I：

10.1016/j.avsg.2018.02.012

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We report the case of an 8-year-old patient with a history of nephrotic syndrome, who presented to the emergency department with right foot pain. The patient's mother described intermittent pain that woke her son from sleep and was accompanied by the foot turning purple and becoming cold to touch. Physical examination revealed capillary refill of over 10 seconds in the right and less than 2 seconds in the left foot. Ankle-brachial indices (ABIs) were 0.0 on the right and 0.96 on the left. The patient was admitted and started on therapeutic intravenous heparin. After consultation with his parents, right lower extremity angiography and thrombolysis was performed over 2 days. He subsequently underwent fasciotomy and amputation of the tip of all 5 toes. Eighteen months later, there is no leg length discrepancy, he is walking with foot inserts and has normal ABIs bilaterally.

引用

页码：327.e1 / 327.e8

页数：8

共 26 条

[1] Adverse effects of glucocorticoids: coagulopathy [J].