Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report
Peripheral Artery Disease (PAD) of the upper extremities is common. It is most often asymptomatic but may cause exertional pains, ischaemic pains, gangrene or ulceration. The risk factors for PAD are smoking, obesity, hypertension, diabetes, hypercholesterolaemia and end stage renal disease. Here th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2022-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/15906/52075_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdf |
| _version_ | 1811174341302288384 |
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| author | Shriya Himmat Thacker Mukesh Chande Manish Raval Navin Gagal |
| author_facet | Shriya Himmat Thacker Mukesh Chande Manish Raval Navin Gagal |
| author_sort | Shriya Himmat Thacker |
| collection | DOAJ |
| description | Peripheral Artery Disease (PAD) of the upper extremities is common. It is most often asymptomatic but may cause exertional pains, ischaemic pains, gangrene or ulceration. The risk factors for PAD are smoking, obesity, hypertension, diabetes, hypercholesterolaemia and end stage renal disease. Here the authors reported a case of 45-year-old male patient, presenting with severe aching type of pain associated with paraesthesia and numbness and blue, cold and gangrenous right forearm which was amputated below the elbow. After amputation, the condition advanced and led to weakness of the right upper arm with bone necrosis and surrounding skin was hyperaemic and oedematous with differential warmth, therefore the patient undergone amputation of the right upper arm and was managed postoperatively with antibiotics and the wound was closed with non absorbable sutures and was on oral anticoagulant therapy and after complete recovery, patient was discharged. On follow-up, removal of sutures was done and patient was referred for physiotherapy for muscle strengthening and prosthesis fitment. |
| first_indexed | 2024-04-10T19:18:41Z |
| format | Article |
| id | doaj.art-aedc12ae20924ed59b160c3683c76fde |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T19:18:41Z |
| publishDate | 2022-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-aedc12ae20924ed59b160c3683c76fde2023-01-30T10:00:16ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-01-01161PD09PD1010.7860/JCDR/2022/52075.15906Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case ReportShriya Himmat Thacker0Mukesh Chande1Manish Raval2Navin Gagal3Student, Department of Surgery, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.Private Practitioner, Department of Surgery, Fusion Hospital, Bhuj, Gujarat, India; Associate Professor, Department of Surgery, Gujarat Adani Medical College, Bhuj, India.Private Practitioner, Department of Surgery, Institute of Kidney Disease and Research Centre, Ahemdabad, Gujarat, India.Private Practitioner, Department of Orthopaedics, Fusion Hospital, Bhuj, Gujarat, India.Peripheral Artery Disease (PAD) of the upper extremities is common. It is most often asymptomatic but may cause exertional pains, ischaemic pains, gangrene or ulceration. The risk factors for PAD are smoking, obesity, hypertension, diabetes, hypercholesterolaemia and end stage renal disease. Here the authors reported a case of 45-year-old male patient, presenting with severe aching type of pain associated with paraesthesia and numbness and blue, cold and gangrenous right forearm which was amputated below the elbow. After amputation, the condition advanced and led to weakness of the right upper arm with bone necrosis and surrounding skin was hyperaemic and oedematous with differential warmth, therefore the patient undergone amputation of the right upper arm and was managed postoperatively with antibiotics and the wound was closed with non absorbable sutures and was on oral anticoagulant therapy and after complete recovery, patient was discharged. On follow-up, removal of sutures was done and patient was referred for physiotherapy for muscle strengthening and prosthesis fitment.https://www.jcdr.net/articles/PDF/15906/52075_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdfdermatomehypoechoic thrombusperipheral artery disease |
| spellingShingle | Shriya Himmat Thacker Mukesh Chande Manish Raval Navin Gagal Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report Journal of Clinical and Diagnostic Research dermatome hypoechoic thrombus peripheral artery disease |
| title | Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report |
| title_full | Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report |
| title_fullStr | Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report |
| title_full_unstemmed | Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report |
| title_short | Acute Presentation of Upper Limb Ischaemia Requiring Amputation: A Case Report |
| title_sort | acute presentation of upper limb ischaemia requiring amputation a case report |
| topic | dermatome hypoechoic thrombus peripheral artery disease |
| url | https://www.jcdr.net/articles/PDF/15906/52075_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdf |
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