Leveraging Point-Of-Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study

Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.