Spontaneous sub-amputation from atypical critical limb ischemia in a patient without classical risk factors.

ABSTRACT:

Background

Spontaneous sub-amputation is a rare manifestation of critical limb ischemia (CLI), most often associated with advanced vascular disease and comorbidities. We present a case of spontaneous foot sub-amputation in an elderly patient without major lifestyle-related risk factors, managed in a resource-limited setting.

Case report

A 76-year-old male with no history of diabetes, hypertension, or smoking presented after his left foot detached spontaneously during sleep, following two months of leg pain and two days of worsening discoloration and fever. On examination, he was septic, with absent left femoral and popliteal pulses and advanced gangrene. Imaging was not performed due to systemic and facility constraints. Emergency above-knee amputation was performed. Intraop

SUBMITTER: Suliman A 

PROVIDER: S-EPMC12466145 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature