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


Submitted: 8 October 2023
Accepted: 22 December 2023
Published: 22 January 2024
Abstract Views: 336
PDF: 123
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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 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 Department of Urology, School of Medicine, Ibb University, Ibb, Yemen. https://orcid.org/0000-0001-7188-2715
  • 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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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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