Extensive thrombosis with amputation of digit I pedis dextra: A case report in Indonesian adult with type 2 diabetes mellitus

BACKGROUND: Diabetes mellitus (DM) is a risk factor for vascularization disorders, especially in the lower extremity that causes acute limb infection (ALI) and chronic limb ischemia (CLI). CASE PRESENTATION: A 41-year-old man has acute limb ischemia, critical limb ischemia, and diabetes mellitus. In...

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Detalles Bibliográficos
Autores principales: Rusli, Andrew Adinata, Soelistijo, Soebagijo Adi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889364/
https://www.ncbi.nlm.nih.gov/pubmed/35240484
http://dx.doi.org/10.1016/j.ijscr.2022.106853
Descripción
Sumario:BACKGROUND: Diabetes mellitus (DM) is a risk factor for vascularization disorders, especially in the lower extremity that causes acute limb infection (ALI) and chronic limb ischemia (CLI). CASE PRESENTATION: A 41-year-old man has acute limb ischemia, critical limb ischemia, and diabetes mellitus. Investigation results showed vascular disorders in the lower extremity area with necrosis of the digit I pedis destra. The patient underwent retrograde and antegrade thrombectomy of the right to left femoral artery and amputation of the digit pedis. DISCUSSION: Thrombectomy is still effective for the management of extensive thrombosis. Amputation of necrotic tissue needs to be conducted immediately to prevent infection. CONCLUSION: Vascular disorders in the extremities are an urgent health problem that requires immediate treatment because it prevents damage to the function of the lower extremities.

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