Delayed Arterial Spasm after Low Energy Trauma: A Case Report

DeGenova DT*, Perugini AJ, Hyland Jr. SS, Auger DP, Rogers CJ, Sullivan DM and Ryu RC

1Department of Orthopedics, OhioHealth, USA 2Department of Emergency Medicine, OhioHealth, USA 3Department of General Surgery, OhioHealth, USA 4OrthopedicOne, Columbus, USA

^*Correspondance to: Daniel T DeGenova 

 PDF  Full Text DOI: 10.25107/2474-1647.3655

Abstract

Case: We report a unique case of a 30-year-old patient with Kawasaki Disease who presented with concern for an ischemic distal lower extremity after suffering a low energy twisting mechanism to his ipsilateral knee ten days prior. Angiogram demonstrated popliteal artery spasm and magnetic resonance imaging demonstrated no internal derangement of the knee. The patient regained full function and resolution of symptoms after administration of intraoperative nitroglycerine. The patient was discharged in stable condition with vasodilatory medication and did not have any recurrent complications. Conclusion: We advocate for providers to be aware of this rare scenario of an ischemic presenting limb after a low energy trauma. Evaluation and quick diagnosis of arterial spasm and limb ischemia is paramount to help avoid long-term consequences.

Keywords

Trauma; Arterial Spasm; Vasospasm; Ischemia; Kawasaki disease

Cite the article

DeGenova DT, Perugini AJ, Hyland Jr. SS, Auger DP, Rogers CJ, Sullivan DM, et al. Delayed Arterial Spasm after Low Energy Trauma: A Case Report. Clin Surg. 2023; 8: 3655..