International journal of surgery case reports · 2022
Extensive thrombosis with amputation of digit I pedis dextra: A case report in Indonesian adult with type 2 diabetes mellitus.
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Rusli Andrew Adinata, Soelistijo Soebagijo Adi
Аннотация
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.
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.