Acute Lower Limb Ischemia in a Young Woman With Arterial Hypoplasia: A Case Report

Abstract

The most frequent causes for acute limb ischemia are arterial embolism, thrombosis (mainly in patients with atherosclerosis), and traumatic arterial injuries. Rarely, acute limb ischemia may be caused by the arterial spasm, when all other causes can be excluded. We present a case of a young woman with acute ischemia of her right lower extremity with diagnosed arterial hypoplasia in the calf. The suspected cause of the ischemia was a spasm of a single artery of the limb. Diagnostic procedures and treatment as well as differential diagnosis are discussed.

Vasospastic Limb Ischemia Presenting Acute and Chronic Limb Ischemia

“…4-6) However, there are only a few cases regarding spontaneous vasospasm in the lower limb artery in which acute onset of femoropopliteal or peroneal artery occlusion was observed. 1,2) Unfortunately, the reason for this rare phenomenon remains unclear. Of great interest, our case presented both "acute" and "chronic" limb ischemia.…”

“…1,2) However, an increasing knowledge about vasospastic limb ischemia is crucial in appropriate diagnosis and treatment for vascular specialists. Herein, we report a case of vasospasm presenting both acute and chronic limb ischemia in four extremities.…”