A rare coexistence of acute thrombotic occlusion of the left popliteal-tibioperoneal artery and the left iliofemoral vein: a case report

Abstract

Acute arterial occlusion (AAO) is a vascular emergency, which is char-acterized by a sudden interrupted perfusion of the limbs [1] and deep vein thrombosis (DVT) is a common complication of long-term hospital-izations and a preventable cause of in-hospital deaths [2, 3]. Although arterial and venous thrombosis are known as different clinical presen-tations due to risk factors, pathophysiology and treatment methods, two of these conditions have been shown to be associated [4]. The rupture of the atherosclerotic plaques leads to AAO known as platelet-rich white thrombus and decrease in blood flow usually may cause venous thrombosis [4]. AAO is associated with increased mortality and disability should be recognized rapidly since it will lead to loss of the limb [1]. It is important to distinguish venous and arterial thrombus for early diagnosis and treatment, and it is an uncommon condition to see both at the same patient [5]. Doppler ultrasound (DUS) is a valuable method to diagnose acute arterial thromboembolism