ABSTRACT
The persistent sciatic artery is an uncommon disease, considered an axial congenital vascular malformation due to the lack of involution of the sciatic artery during embryonic development. It may be associated with abnormalities in the development of the iliac, common femoral and superficial femoral arteries. Patients may be asymptomatic, or they could present chronic pain, such as sciatic neuralgia, caused by nerve damage, since it is close to the abnormal persistent vessel, or due to ischemic pain, as a result of a thrombosis or embolism of an aneurysm, which could compromise the viability of the limb.
Subject(s)
Aneurysm , Thrombosis , Aneurysm/complications , Arteries/abnormalities , Arteries/diagnostic imaging , Humans , Leg/blood supplyABSTRACT
The persistent sciatic artery is an uncommon disease, considered an axial congenital vascular malformation due to the lack of involution of the sciatic artery during embryonic development. It may be associated with abnormalities in the development of the iliac, common femoral and superficial femoral arteries. Patients may be asymptomatic, or they could present chronic pain, such as sciatic neuralgia, caused by nerve damage, since it is close to the abnormal persistent vessel, or due to ischemic pain, as a result of a thrombosis or embolism of an aneurysm, which could compromise the viability of the limb.
ABSTRACT
La flegmasía cerúlea dolens es un estado muy infrecuente, secundario a trombosis venosa profunda, de origen multietiológico, que afecta usualmente a las extremidades inferiores. Se presenta con dolor en miembro inferior y edema rápidamente progresivo que puede comprometer la perfusión de la extremidad, pudiendo llevar a gangrena, amputación e incluso a la muerte. Se presenta un caso de flegmasía extremadamente raro secundario a trombosis venosa profunda masiva del eje iliofemoral izquierdo provocado por un hematoma crónico compresivo de origen traumático por cizallamiento del tornillo de S1 en una paciente intervenida hacia 3 meses de hernia discal lumbar mediante artrodesis e instrumentación vertebral L5-S1. Este artículo muestra la necesidad de realizar un escrupuloso escrutinio de los tornillos tanto intra como postoperatoriamente cuando nos encontramos cerca de los grandes vasos
Phlegmasia cerulea dolens is a very infrequent condition secondary to a deep venous thrombosis of multietiological origin usually affecting the lower extremities. It presents with pain and edema in the lower limb rapidly progressive that can compromise the perfusion of the limb, being able to cause gangrene, amputation and even death. We present an extremely rare case of a phlegmasia secondary to a massive deep venous tombosis of the left iliofemoral axis caused by chronic compressive hematoma of a traumatic origin due to a S1 screw shearing in a patient operated three months ago of a lumbar herniated disc through a L5-S1 fussion. This article shows the need to perform a scrupulously scrutinize of the screws both intra and postoperatively when we are close to the great vessels
Subject(s)
Humans , Female , Middle Aged , Thrombophlebitis/therapy , Venous Thrombosis/complications , Laminectomy/methods , Thrombophilia/physiopathology , Heparin, Low-Molecular-Weight/therapeutic use , Lower Extremity/pathology , Lower Extremity/surgery , Venous Thrombosis/diagnostic imaging , Anticoagulants/therapeutic use , Stockings, CompressionABSTRACT
Phlegmasia cerulea dolens is a very infrequent condition secondary to a deep venous thrombosis of multietiological origin usually affecting the lower extremities. It presents with pain and edema in the lower limb rapidly progressive that can compromise the perfusion of the limb, being able to cause gangrene, amputation and even death. We present an extremely rare case of a phlegmasia secondary to a massive deep venous tombosis of the left iliofemoral axis caused by chronic compressive hematoma of a traumatic origin due to a S1 screw shearing in a patient operated three months ago of a lumbar herniated disc through a L5-S1 fussion. This article shows the need to perform a scrupulously scrutinize of the screws both intra and postoperatively when we are close to the great vessels.
Subject(s)
Venous Thrombosis , Humans , Pain , Venous Thrombosis/etiologyABSTRACT
No disponible
Subject(s)
Humans , Male , Aged , Osteochondroma/complications , Ischemia/diagnostic imaging , Knee/diagnostic imaging , Thrombosis/surgery , Ischemia/etiology , StentsSubject(s)
Bone Neoplasms/diagnostic imaging , Ischemia/etiology , Osteochondroma/diagnostic imaging , Peripheral Arterial Disease/etiology , Popliteal Artery , Thrombosis/etiology , Tibia , Aged , Bone Neoplasms/complications , Computed Tomography Angiography , Humans , Ischemia/diagnostic imaging , Lower Extremity/blood supply , Lower Extremity/diagnostic imaging , Male , Osteochondroma/complications , Peripheral Arterial Disease/diagnostic imaging , Popliteal Artery/diagnostic imaging , Thrombosis/diagnostic imaging , Tibia/diagnostic imaging , Tibia/pathology , Ultrasonography, Doppler, ColorABSTRACT
No disponible
Subject(s)
Humans , Male , Aged, 80 and over , Iliac Aneurysm/complications , Iliac Aneurysm/surgery , Iliac Aneurysm , Postoperative Complications/mortality , Postoperative Complications/pathology , Low Back Pain/complications , Low Back Pain/etiology , Low Back Pain , Magnetic Resonance Imaging/methodsABSTRACT
No disponible
