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. 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.