Thrombosis of peripheral aneurysms. A complication of colorectal surgery

Colorectal surgery performed with patients in the lithotomy position resulted in acute limb ischemia due to thrombosis of unrecognized peripheral aneurysms. A search of the literature failed to find this complication reported. It is postulated that the mechanism of injury is due to calf compression...

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Veröffentlicht in:Diseases of the colon & rectum 1983-03, Vol.26 (3), p.167-169
Hauptverfasser: Lozman, H, McSherry, C K, Freund, S
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Sprache:eng
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Zusammenfassung:Colorectal surgery performed with patients in the lithotomy position resulted in acute limb ischemia due to thrombosis of unrecognized peripheral aneurysms. A search of the literature failed to find this complication reported. It is postulated that the mechanism of injury is due to calf compression in the lithotomy position and/or external iliac artery compression by a retractor. Awareness of the peripheral aneurysm prior to colorectal surgery and appropriate modification of the operative approach should prevent this complication.
ISSN:0012-3706
DOI:10.1007/BF02560162