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Acute limb ischemia due to left brachial artery occlusion in a 40-year-old female patient: a case report

Authors

Nabil AlMadhwahi
Department of Vascular Surgery, Al-Thora Modern Hospital, School of Medicine, Sana’a University of Medical Sciences, Sana’a, Yemen.
Sallam Al-Hanash
Sallamalhanash95@gmail.com
Department of General Surgery, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Ali Barat
Department of General Surgery, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Mohammed Alshujaa
Department of General Surgery, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Mohammed Najran
Department of General Surgery, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Ali Fadhel
Department of General Surgery, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Eman Al-Jammal
Student Research Committee, Dhamar General Hospital, Faculty of Medicine, Thamar University, Thamar, Yemen.
Faisal Ahmed
https://orcid.org/0000-0001-7188-2715
Department of Urology, School of Medicine, Ibb University, Ibb, Yemen.
Abdulfattah Altam
Department of General Surgery, School of Medicine, 21 September University, Sana'a, Yemen.
Mohammed Badheeb
Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, United States.

Acute upper limb ischemia (ALI) due to brachial artery occlusion is a rare but catastrophic condition that poses a significant threat to limb viability and can result in limb amputation or death. Accurate diagnosis and timely intervention are crucial to avoid catastrophic consequences. Literature on ALI due to brachial artery occlusion is scant and usually related to atrial fibrillation. We report a 40-year-old female presented with sudden onset left upper limb pain, change in color, and neurological deficits in the last three days. A color Doppler ultrasound revealed a complete occlusion of the left brachial artery with echogenic thrombosis suggestive of ALI. The patient urgently underwent a thrombectomy with an uneventful outcome. In conclusion, even though ALI due to brachial artery occlusion is rare, a heightened level of suspicion, precise diagnosis, and timely management are essential to prevent any fatal consequences.

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How to Cite

AlMadhwahi, N., Al-Hanash, S., Barat, A., Alshujaa, M., Najran, M., Fadhel, A., Al-Jammal, E., Ahmed, F., Altam, A., & Badheeb, M. (2024). Acute limb ischemia due to left brachial artery occlusion in a 40-year-old female patient: a case report. Emergency Care Journal, 20(1). https://doi.org/10.4081/ecj.2024.11930
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