Cavitary Dilemma

• 50 year old female, presented initially to a general practitioner with C/O left upper limb pain, acute onset, throbbing type, for 2 days.
• Patient is a known case of diabetes mellitus and hypertension.
• Pulse was feeble on palpation. So she was advised CT scan of left upper limb.

CT SCAN OF LEFT UPPER LIMB

• Thrombosis of left ulnar artery just distal to elbow for about 29mm in length with distal reformations.
• Total occlusion of left radial artery at the level of wrist.
• Eccentric soft plaque in left subclavian artery causing 20-30 % stenosis.
• After CT scan she was referred to vascular team.
• Vitals are stable on admission.
• Suspecting upper limb thrombosis and plan for thrombectomy , patient was admitted in ICU.
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