Cholesterol crystal embolism. Case report.
A 60-year-old man presented with a cholesterol crystal embolism that gave a rather confusing clinical picture. An immediate multidisciplinary approach established the diagnosis and the rapid, dramatic skin loss that exposed vital structures over his thigh and lower leg was reconstructed by an ipsilateral inferior pedicled rectus abdominis musculocutaneous flap with a lateral oblique cephalad fasciocutaneal component. The case, which a plastic surgeon would rarely encounter, is interesting because of the diagnostic approach and the management.
Kutlu
N
N
Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
Kaklikkaya
I
I
Bahadir
S
S
Ozcan
F
F
Uzun
Z
Z
D003646:Debridement; D003937:Diagnosis, Differential; D017700:Embolism, Cholesterol / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012867:Skin / Q000098:blood supply; D013524:Surgical Flaps; D013536:Suture Techniques