title: An acute lower limb ischaemia with an unusual cause.
abstract: Acute arterial occlusion associated with an abdominal aortic aneurysm can occur as a result of acute thrombosis or embolism from a mural thrombus of the aneurysm. We report here a case of an unusual association between a seat belt injury and an acute ischaemic leg in a patient known to have an abdominal aortic aneurysm. We also demonstrate some difficult dilemma related to the use of anticoagulation in patients with multiple injuries.
authors.affiliation: Department of Surgery, Princess Alexandra Hospital, Harlow, Essex, England, U.K.
authors.forename: L R
authors.initials: LR
authors.lastname: Jiao
authors.forename: A
authors.initials: A
authors.lastname: Ramanathan
authors.forename: J
authors.initials: J
authors.lastname: Ackroyd
mesh_terms: D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D002543:Cerebral Hemorrhage / Q000209:etiology; D000075202:Contraindications; D006259:Craniocerebral Trauma / Q000150:complications; D004617:Embolism / Q000209:etiology*; D006493:Heparin; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D008297:Male; D009104:Multiple Trauma / Q000628:therapy; D012622:Seat Belts / Q000009:adverse effects; D013927:Thrombosis / Q000150:complications
chemical_list: D000925:Anticoagulants; D006493:Heparin