Hajja Amro, Al-Attas Attas A, Turko Rasoul, Albugami Norah, Almumtin Ahmed
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Int J Surg Case Rep. 2024 Sep;122:110187. doi: 10.1016/j.ijscr.2024.110187. Epub 2024 Aug 17.
Foot drop is a disorder characterized by weakness in the dorsiflexor muscles of the foot, caused by various pathologies, including neurological, muscular, spinal, and autoimmune conditions. Sometimes, it can be iatrogenic due to direct nerve compression, traction, or ischemia. The occurrence and underlying mechanism of foot drop following aortobifemoral bypass surgery are not well-documented in literature.
A 40-year-old male, with short distance claudication secondary to multi-level lower limb arterial occlusions, mainly, external iliac arteries and superficial femoral arteries. The patient underwent an uneventful aortobifemoral bypass. Post-operatively, the patient developed left sided foot drop with no clear etiology. With intensive physiotherapy, the patient improved and eventually recovered.
After excluding other causes of the manifestation, this case could potentially give an insight to a rare postoperative complication following aortobifemoral bypass surgery. Despite a smooth intraoperative course, the patient developed foot drop, a rarely reported complication, suggesting a potential link between the procedure and foot drop.
This case report highlights a rare postoperative complication after aortobifemoral bypass surgery, emphasizing the need for further research to elucidate the direct mechanisms behind this rare occurrence.
足下垂是一种以足部背屈肌无力为特征的病症，由多种病理状况引起，包括神经、肌肉、脊柱和自身免疫性疾病。有时，由于直接的神经压迫、牵引或缺血，也可能是医源性的。文献中关于主-双股动脉旁路手术后足下垂的发生情况及潜在机制记载并不充分。
一名40岁男性，因多节段下肢动脉闭塞，主要是髂外动脉和股浅动脉闭塞，出现短距离跛行。患者接受了顺利的主-双股动脉旁路手术。术后，患者出现左侧足下垂，病因不明。经过强化物理治疗，患者病情改善并最终康复。
在排除该表现的其他原因后，本病例可能为深入了解主-双股动脉旁路手术后一种罕见的术后并发症提供线索。尽管手术过程顺利，但患者出现了足下垂这一鲜有报道的并发症，提示该手术与足下垂之间可能存在联系。
本病例报告突出了主-双股动脉旁路手术后一种罕见的术后并发症，强调需要进一步研究以阐明这一罕见情况背后的直接机制。
