Cholesterol crystal embolism. Case report

A 60-year-old man presented with a cholesterol crystal embolism that gave a rather confusing clinical picture. An immediate multidisciplinary approach established the diagnosis and the rapid, dramatic skin loss that exposed vital structures over his thigh and lower leg was reconstructed by an ipsila...

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Bibliographic Details
Published inScandinavian journal of plastic and reconstructive surgery and hand surgery Vol. 32; no. 1; p. 113
Main Authors Kutlu, N, Kaklikkaya, I, Bahadir, S, Ozcan, F, Uzun, Z
Format Journal Article
LanguageEnglish
Published England 1998
Subjects
Debridement
Diagnosis, Differential
Embolism, Cholesterol - diagnosis
Embolism, Cholesterol - surgery
Humans
Ischemia - diagnosis
Ischemia - surgery
Leg - blood supply
Male
Middle Aged
Patient Care Team
Skin - blood supply
Surgical Flaps
Suture Techniques
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Summary:A 60-year-old man presented with a cholesterol crystal embolism that gave a rather confusing clinical picture. An immediate multidisciplinary approach established the diagnosis and the rapid, dramatic skin loss that exposed vital structures over his thigh and lower leg was reconstructed by an ipsilateral inferior pedicled rectus abdominis musculocutaneous flap with a lateral oblique cephalad fasciocutaneal component. The case, which a plastic surgeon would rarely encounter, is interesting because of the diagnostic approach and the management.
ISSN:0284-4311
1651-2073
DOI:10.1080/02844319850159010