British Journal of Radiology (2005) 78, 601-605
© 2005 British Institute of Radiology
doi: 10.1259/bjr/65615343
Protein C and/or S deficiency presenting as peripheral arterial insufficiency
Y P Cho, MD
1
T-W Kwon, MD
2
J-H Ahn, MD
3
G H Kang, MD
4
M S Han, MD
1
Y H Kim, MD
1
J H Kwak, MD
1 and
S G Lee, MD
2
Departments of 1 Surgery, 3 Diagnostic Radiology and 4 Diagnostic Pathology, University of Ulsan Medical College, Gangneung Asan Hospital, 415 Bangdong-ri, Sacheon-myeon, Gangneung, Gangwon-do, 210-711 and 2 Department of Surgery, University of Ulsan Medical College, Seoul Asan Hospital, 388-1 Poongnap-dong, Songpa-gu, Seoul, Republic of Korea
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Figure 1. In case 1, transfemoral angiogram showed long segment thrombotic occlusion of the right external iliac, common, and superficial femoral arteries without evidence of atherosclerosis in the aorta and other major arterial trees.
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Figure 2. In case 7, (a) segmental leg pressure examination showed absence of Doppler waveform at both calf and ankle levels. (b) Transfemoral angiogram revealed complete thrombotic occlusion of the right common iliac artery, left superficial and deep femoral arteries. Note that the abdominal aorta showed normal anatomy and luminal patency without evidence of atherosclerosis. (c) Histopathologically, the femoral artery was almost totally occluded by the organized thrombi (haematoxylin and eosin stain, x 40). The arterial wall showed no pathological abnormalities.
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Figure 3. Multidetector CT in case 11. (a) Pre-operative multidetector CT showed partial eccentric thrombus involving infrarenal abdominal aorta (black arrows) and complete thrombotic occlusion of the right proximal external iliac artery. (b) Post-operative multidetector CT showed good patency of the right external iliac artery.
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Copyright © 2005 by the British Institute of Radiology.
