Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Pediatric Emergency Medicine


Dr. Tom Colletti


Non-catheter-related arterial thrombosis in children is rare. The case report below presents a spontaneous arterial thrombus that occurred in an adolescent male patient who presented to the emergency department multiple times complaining of intermittent foot pain. The patient was ultimately diagnosed with a complete occlusion of the superficial femoral artery, which led to below the knee amputation to salvage the limb. Arterial thrombosis should be considered in a pediatric patient presenting with limb or extremity pain, diminished pulses, and color change or pallor. The gold standard to diagnosing an arterial thrombus in the pediatric patient is computed tomography- or magnetic resonance-angiography.


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