Leveraging Point‐Of‐Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study
Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.
Authors
- Neha Singh (ORCID: https://orcid.org/0000-0003-2013-4295)
- Ashok Johari (ORCID: https://orcid.org/0000-0001-6227-5841)
- Karen Boretsky (ORCID: https://orcid.org/0000-0003-2799-9902)
- Vrushali C. Ponde
- Hanna Smeds
Institutions
- Harvard University (US)
- Karolinska Institutet (SE)
- Surya Hospitals (IN)
- All India Institute of Medical Sciences Bhubaneswar (IN)
Publication Details
- Journal
- Journal of Clinical Ultrasound
- Published
- 2025-06-02
- DOI
- https://doi.org/10.1002/jcu.24102
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00