Buerger disease

Case contributed by Dalia Ibrahim


Bilateral lower limb ischemic pain. Chronic heavy smoker.

Patient Data

Age: 25 years
Gender: Male

Occluded right anterior tibial and peroneal arteries at their origin, patent proximal half of the posterior tibial artery with occluded its distal half. 

Occlusion of the left anterior and posterior tibial arteries following patent short proximal segments. Patent peroneal artery.

Multiple dilated corkscrew collaterals are noted bilaterally.

The remainder of the arteries appear unremarkable.

Annotated image

Multiple occluded leg vessels & multiple dilated corkscrew collaterals (red arrows)

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