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Pediatric Reports
Volume 8
Issue 4
10.4081/pr.2016.6885
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Case Report

Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and Hhis Family

by
Paolo D'Angelo
1,*,
Calogero Taormina
1,
Clara Mosa
1,
Floriana Di Marco
1,
Fabrizio Valentino
2,
Angela Trizzino
1,
Paola Guadagna
1 and
Francesco Talarico
2
1
Pediatric Hematology and Oncology Department, ARNAS Civico, G. Di Cristina and Benfratelli Hospitals, Palermo, Italy
2
Vascular Surgery Department, ARNAS Civico, G. Di Cristina and Benfratelli Hospitals, Palermo, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2016, 8(4), 6885; https://doi.org/10.4081/pr.2016.6885
Submission received: 11 September 2016 / Revised: 2 October 2016 / Accepted: 8 October 2016 / Published: 9 December 2016

Abstract

Large vessel thrombosis is a very rare clinical presentation of acute leukemia, generally associated with coagulopathy, usually characteristic of acute promyelocytic leukemia. A 13- year-old boy with a previously undiagnosed acute myeloid leukemia was referred to our hospital with acute ischemia of the right lower limb due to occlusion of the right external iliac artery, treated with emergency double surgical thromboembolectomy and chemotherapy. The thrombotic complication resulted in leg amputation. Now the boy is well in complete remission, with a good social integration and quality of life, 30 months after completing treatment. The report highlights the crucial role of early diagnosis and subsequent chemotherapy in avoiding amputation. We particularly focused critical and emotional aspects related to the communication about the leg amputation with the patient and his family.
Keywords: Large vessels arterial thrombosis; Acute myeloid leukemia; Chemotherapy; Leg amputation; Communication emotional aspects Large vessels arterial thrombosis; Acute myeloid leukemia; Chemotherapy; Leg amputation; Communication emotional aspects

Share and Cite

MDPI and ACS Style

D'Angelo, P.; Taormina, C.; Mosa, C.; Di Marco, F.; Valentino, F.; Trizzino, A.; Guadagna, P.; Talarico, F. Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and Hhis Family. Pediatr. Rep. 2016, 8, 6885. https://doi.org/10.4081/pr.2016.6885

AMA Style

D'Angelo P, Taormina C, Mosa C, Di Marco F, Valentino F, Trizzino A, Guadagna P, Talarico F. Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and Hhis Family. Pediatric Reports. 2016; 8(4):6885. https://doi.org/10.4081/pr.2016.6885

Chicago/Turabian Style

D'Angelo, Paolo, Calogero Taormina, Clara Mosa, Floriana Di Marco, Fabrizio Valentino, Angela Trizzino, Paola Guadagna, and Francesco Talarico. 2016. "Severe Lower Limb Ischemia by Massive Arterial Thrombosis Revealing an Acute Myeloid Leukemia Needing for Leg Amputation: Clinical and Emotional Aspects Related to the Communication with the Patient and Hhis Family" Pediatric Reports 8, no. 4: 6885. https://doi.org/10.4081/pr.2016.6885

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