Benson RA and Loftus IM
Anterior Tibial Artery Entrapment Syndrome: An Unusual Cause of Angiosomal Ischaemia
Background: An acquired complete heart block is not common in previously healthy children. Underlying causes and the treatment of the acquired heart block would provide the different outcome.
Background: Popliteal entrapment syndrome (PES) is an important cause of intermittent claudication symptoms in young, athletic patients including professional athletes, and military personnel. Although once thought a benign process, progressive injury to the artery followed by limb ischaemia and loss has been described in the literature. Case description: Here, we present the first reported case of PES caused by external compression due to a calf haematoma, leading to symptoms of anterior tibial artery entrapment. Literature Review: PES can be difficult to differentiate from other causes of exertional lower leg pain, although it is becoming increasingly well recognised. The necessary imaging modalities are also more commonplace. Spontaneous haematomas in patients on anti-coagulant or anti-platelet treatments is well documented although uncommon compared to gastrointestinal bleeding. Clinical relevance: The combination of the two pathologies is unusual. Publication of prospective case series and unusual presentations is vital to build up sufficient knowledge to allow systematic review and agreement on treatment and management..
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