Related Experiment Video
Updated: Jun 30, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Septic splenic infarction after acute arterial embolism]
1Chirurgische Klinik, St-Marienkrankenhaus, Siegen. s.leroy@marienkranken-haus.com <s.leroy@marienkranken-haus.com>
Deutsche Medizinische Wochenschrift (1946)
|September 18, 2008
Summary
A free-floating aortic thrombus caused acute limb ischemia in a patient. Prompt surgical intervention and identification of the embolic source are crucial for managing peripheral arterial occlusion and preventing further complications like septic splenic infarction.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Diagnostic Imaging
Background:
- Acute limb ischemia (ALI) presents a vascular emergency requiring prompt diagnosis and treatment.
- Identifying the embolic source is critical for preventing recurrent events and systemic complications.
Observation:
- A 62-year-old woman presented with sudden severe left lower leg pain and a cold, pale limb.
- Physical examination revealed diminished foot pulses despite palpable femoral and popliteal pulses.
- Magnetic resonance angiography confirmed embolic occlusion of the left popliteal artery.
Findings:
- Embolectomy was performed for acute embolic occlusion originating from a free-floating aortic thrombus.
- The patient developed septic splenic infarction, necessitating a splenectomy.
- Postoperative complications included a pancreatic fistula, managed conservatively.
Implications:
- Urgent surgical treatment of ALI requires thorough investigation into the embolic source.
- Advanced imaging modalities like MRI angiography are essential for diagnosis.
- Floating aortic thrombi pose a risk for further embolization, including septic emboli, requiring vigilant management.
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