Aplastic posterior tibial arteries

Case contributed by Mohamed Saber
Diagnosis certain

Presentation

Diabetic foot with right hallux infected wound

Patient Data

Age: 55 years
Gender: Male

Absent both posterior tibial arteries with hypertrophied both peroneal arteries seen coursing medially behind medial malleoli then continuing as lateral plantar arteries with attenuated atherosclerotic distal segments. Patent both anterior tibial arteries.

Case Discussion

This case shows a rare variation of the lower limb arterial system. The radiologist should be aware of this variation to avoid misinterpretation as arterial total occlusion.

Contribution by Dr. Mohamed Elthokapy

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