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Description
A 50-year-old woman, a known diabetic and hypertensive with poor compliance to treatment, presented with fever, dyspnoea and left-sided pleuritic chest pain for 15 days and left lower limb swelling worsening over the past 1 week. On examination, her vitals were stable, and she had significant left lower limb oedema extending up to the upper thigh with livedo reticularis (figure 1). The left lower limb pulses were not palpable. There was excruciating pain on light touch and passive flexion of the toes and ankle. Urgent arterial and venous Doppler sonography of the lower limbs revealed a left-sided iliofemoral venous thrombus. With the clinical diagnosis of acute compartment syndrome, urgent single incision four compartment fasciotomy was performed.
CT pulmonary angiogram demonstrated subsegmental pulmonary emboli in the territory of the left descending pulmonary artery …
Footnotes
Contributors ADS and NM were the residents involved in the management of the case. AR was the consultant in charge of the case. RS is the head of the department and was directly involved in supervision , crucial management and decision-making. Photographs were collected by ADS. ADS and NM were involved in editing. All the four authors were involved in writing and finalising the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Next of kin consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.