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J Surg Case Rep. 2015 Mar 3;2015(3). pii: rjv012. doi: 10.1093/jscr/rjv012.

A case of popliteal artery stenosis: masquerading as an infective foot ulcer in a young male traveller.

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Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, UK
Trauma and Orthopaedics, Royal Victoria Hospital, Belfast, UK.


Here, we present a case report of a young male who had been travelling in Thailand. The patient sustained a relatively minor trauma to the soft tissue under his left third metatarsal head on a piece of coral reef. He subsequently developed an infected ulcer, which did not heal despite appropriate antibiotic therapy and surgical debridement. Unfortunately, the patient required amputation of the left third toe and metatarsal head due to osteomyelitic destruction. It later transpired that the ulcer was initially ischaemic in nature due to previously undiagnosed and asymptomatic popliteal artery stenosis.

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