Acute Lower Extremity Arterial Occlusion during Surgery in a Patient Undergoing Robot-Assisted Radical Cystectomy with Intracorporeal Urinary Diversion: A Case Report

Donghee Kang, Minsu Yun, Siejeong Ryu and Jiwook Kim*

Department of Anesthesiology and Pain Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Korea

^*Correspondance to: Jiwook Kim 

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Abstract:

Lower extremity arterial occlusion is a significantly rare but serious complication of various surgeries. A 77-year-old Asian man with a history of atrial fibrillation, cerebral infarction, and liver cirrhosis arrived in the recovery room after undergoing robot-assisted radical cystectomy with intracorporeal urinary diversion. The patient suddenly complained of severe pain in the left lower extremity. Pain in the lower extremities, femoral pulses, and popliteal pulses were not palpable, and acute lower extremity arterial occlusion was suspected because of paresthetic symptoms, such as leg numbness. Bedside two-dimensional Doppler ultrasonography was performed, and no left arterial flow was observed; therefore, acute superior femoral arterial occlusion was suspected. After the patient’s lower extremity perfusion was safely recovered, he was discharged from the intensive care unit.

Keywords:

Cystectomy; Bedside sonography; Acute embolic occlusion

Cite the Article:

Kang D, Yun M, Ryu S, Kim J. Acute Lower Extremity Arterial Occlusion during Surgery in a Patient Undergoing Robot-Assisted Radical Cystectomy with Intracorporeal Urinary Diversion: A Case Report. Ann Clin Case Rep. 2021; 6: 2014..