Kam Cheuk Tung, Ahmed Syed, Milligan Fintan, Sip Benjamin
The Royal Victoria Hospital, Belfast Health and Social Care Trust, 274 Grosvenor Road, Belfast, BT12 6BA, United Kingdom.
Radiol Case Rep. 2022 Nov 28;18(2):596-598. doi: 10.1016/j.radcr.2022.11.001. eCollection 2023 Feb.
Acute limb ischemia is a life and limb-threatening pathology rarely observed in young populations. One of the uncommon causes includes hypercoagulable state which can occur in secondary polycythemia leading to an abnormal increase in the erythrocyte mass. We present a rare case of Rutherford type 2A acute limb ischemia in a 36-year-old male patient with a background of secondary polycythemia who presented with severe pain and neurological deficits in his left lower limb. Acute limb ischemia is a surgical emergency that is important for clinicians to have a low threshold of suspicion of this life and limb-threatening condition due to the diverse and potentially atypical causes.
急性肢体缺血是一种危及生命和肢体的病理状况,在年轻人群中很少见。其中一种不常见的病因是高凝状态,可发生于继发性红细胞增多症,导致红细胞数量异常增加。我们报告一例罕见病例,一名36岁男性患者,有继发性红细胞增多症病史,出现卢瑟福2A型急性肢体缺血,表现为左下肢严重疼痛和神经功能缺损。急性肢体缺血是一种外科急症,由于病因多样且可能不典型,临床医生对这种危及生命和肢体的疾病保持较低的怀疑阈值很重要。