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Acute limb ischemia due to abdominal compartment syndrome

Authors

  • Atsuo Maeda MD,

    1. Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Kanagawa, Japan
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  • Kohei Wakabayashi MD, PhD, FACC,

    Corresponding author
    1. Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Kanagawa, Japan
    • Correspondence to: Kohei Wakabayashi, 1–30 Fujigaoka, Aoba-Ku, Yokohama-City, Kanagawa 227–8501, Japan. E-mail: kwaka@live.jp

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  • Hiroshi Suzuki MD, PhD

    1. Division of Cardiology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Kanagawa, Japan
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  • Conflict of interest: Nothing to report.

Abstract

Acute limb ischemia (ALI) is caused by embolisms or progressive atherosclerosis. We report the case of a 68-year-old female who presented with acute total occlusion of left iliac artery due to remarkably massive ascites from pancreatic cancer. To our knowledge, no other case reports of ALI caused by acute compartment syndrome have been published. We treated our case successfully by draining the ascites fluid without any balloon angioplasty or stent implantation. The removal of extrinsic compression may be the best treatment for cases of this type. © 2013 Wiley Periodicals, Inc.

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