Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound

EL TAWIL CH, JREIGE R, SEBBANE M. Acute Superficial Femoral Artery Thrombosis Diagnosed by Bedside Ultrasound. Med Emergency, MJEM 2019; 27

DOI 10.26738/MJEM.2017/mjem27.2019/CT.CRE.060618

Keywords: arterial thrombosis, bedside ultrasound, peripheral artery disease.

  • Authors’ affiliation
  • Article history / info
  • Conflict of interest statement

Corresponding author: Chady El Tawil, MD

Department of Emergency Medicine, American University of Beirut Medical Center,

Beirut, Lebanon

eltawil.chady@gmail.com

El Tawil Ch, MD1, Jreige R, MD2, Sebbane M, MD2

1. Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon

2. Department of Emergency Medicine, CHRU Montpellier, Hôpital Lapeyronie, Montpellier, France

Category: case report

Received: Mar. 21, 2018

Revised: May 16, 2018

Accepted: June 06, 2018

There is no conflict of interest to declare

ABSTRACT

A 66-year-old male patient with a history of peripheral artery disease presented with left lower extremity pain of 5 days duration exacerbated few hours ago. Bedside ultrasound, performed by the emergency physician, showed a patent left common femoral artery and an echogenicity obturating the lumen of the left superficial femoral artery with almost complete absence of flow on Doppler flow meter at this level. Computed tomography angiography confirmed the diagnosis and the patient was admitted for anticoagulation and surgical repair. Bedside ultrasound can help in the diagnosis of arterial thrombosis and prompt faster management and disposition.