Femoral arterial thrombosis

Case contributed by Dr Lawrence Chia Wei Oh

Presentation

Painful right leg. History of atrial fibrillation

Patient Data

Age: 80
Gender: Female
Modality: CT

This CT angiogram demonstrates a filling defect extending from distal right external iliac artery into superficial femoral artery suggestive of an occlusive thrombus. The left internal iliac artery is occluded. Thrombus is also noted at the origin of coeliac trunk. There is evidence of splenic infarction.  Filling defects in left atrium and ventricle also suspicious of  thrombus formation.

Case Discussion

The patient underwent a femoral endarterectomy. Multiple arterial thromboses noted in this patient could be due to her atrial fibrillation. 

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Case Information

rID: 25201
Case created: 12th Oct 2013
Last edited: 26th Oct 2015
Inclusion in quiz mode: Included

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