Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2021; 9(26): 7857-7862
Published online Sep 16, 2021. doi: 10.12998/wjcc.v9.i26.7857
Critical lower extremity ischemia after snakebite: A case report
Zi-Ying Lu, Xiao-Dong Wang, Jin Yan, Xiao-Long Ni, Si-Pin Hu
Zi-Ying Lu, Xiao-Dong Wang, Jin Yan, Xiao-Long Ni, Si-Pin Hu, Department of Vascular Surgery, Tongde Hospital of Zhejiang Province, Hangzhou 310000, Zhejiang Province, China
Author contributions: Lu ZY and Wang XD were the patient’s surgeons, reviewed the literature, and contributed to the drafting of the manuscript; Yan J reviewed the literature and contributed to the drafting of the manuscript; Ni XL analyzed and interpreted the imaging findings; Hu SP reviewed the literature and drafted the manuscript; all authors issued final approval for the version to be submitted.
Supported by the 13th FIVE-YEAR Key Project for Traditional Chinese Medicine of Zhejiang Province, No. 2A11951; Basic Public Welfare Research Program of Zhejiang Province, No. LGF21H020002; Clinical Research Fund of Zhejiang Medical Association, No. 2020ZYC-A03; and Traditional Chinese Medicine Scientific Research Fund Project of Zhejiang Province, No. 2021ZA038.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to report.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to those criteria.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Dong Wang, MD, Chief Doctor, Department of Vascular Surgery, Tongde Hospital of Zhejiang Province, No. 234 Gucui Road, Hangzhou 310000, Zhejiang Province, China. hzsparks@hotmail.com
Received: March 30, 2021
Peer-review started: March 30, 2021
First decision: June 7, 2021
Revised: June 8, 2021
Accepted: July 30, 2021
Article in press: July 30, 2021
Published online: September 16, 2021
Core Tip

Core Tip: We report a 69-year-old man who presented with critical right lower extremity pain and was diagnosed with acute right lower extremity arterial thrombosis that may be caused by coagulopathy after snakebite and arteriosclerosis in lower extremity. Haematological abnormalities are very common with snakebites, but thrombotic manifestations are less common. Physicians should bear in mind the rare complications and devastating sequela of extremity ischemia following snakebite, especially for patients with atherosclerotic disease.