Isolated thigh ischemia in the course of iliofemoral arterial obstruction

Abstract

A 72-year-old female presented rapidly developing ischemia of the skin and subcutaneous tissue of the antero--medial aspect of a thigh. An atypical clinical manifestation of ischemia led to delayed diagnosis and treatment that resulted in the development of large tissue loss in the anteromedial aspect of the thigh. Endovascular recanalization of recurrent occlusion in the ilio-femoral segment with rotational thrombectomy together with a multi-step local surgical treatment resulted in healing of the lesion