Abstract
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.
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Lozman, H., McSherry, C.K. & Freund, S. Thrombosis of peripheral aneurysms. Dis Colon Rectum 26, 167–169 (1983). https://doi.org/10.1007/BF02560162
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DOI: https://doi.org/10.1007/BF02560162