Winckiewicz Marek, Stanisic Michal-Goran, Szajkowski Rafal, Staniszewski Ryszard
Department of General and Vascular Surgery, Karol Marcinkowski Univ. of Medical Sciences, Poznan, Poland.
Angiology. 2007 Aug-Sep;58(4):494-7. doi: 10.1177/0003319706291154.
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.
急性肢体缺血最常见的病因是动脉栓塞、血栓形成（主要见于动脉粥样硬化患者）和创伤性动脉损伤。极少数情况下，当排除所有其他病因时，急性肢体缺血可能由动脉痉挛引起。我们报告一例年轻女性，其右下肢急性缺血，小腿诊断为动脉发育不全。缺血的疑似病因是肢体单条动脉痉挛。文中讨论了诊断方法、治疗以及鉴别诊断。
