Misleading cause of acute arterial insufficiency: ergotamine intoxication. Case report.
In a woman arteriographically indicated spasm of the iliac, femoral and popliteal arteries did not respond to intra-arterial tolazoline. At operation groin pulsations were normal. Bilateral lumbar sympathectomy was performed. Subsequently it emerged that she had been using ergotamine. Surgery could have been avoided if nitroprusside had been given.
Sintenie
J B
JB
Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands.
Tuinebreijer
W E
WE
Kreis
R W
RW
Breederveld
R S
RS
D000328:Adult; D004881:Ergotism / Q000150:complications*; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000139:chemically induced* / Q000000981:diagnostic imaging; D011859:Radiography