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 his family

Paolo D'Angelo, Calogero Taormina, Clara Mosa, Floriana Di Marco, Fabrizio Valentino, Angela Trizzino, Paola Guadagna, Francesco Talarico
2016 Pediatric Reports  
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
more » ... tion. 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.
doi:10.4081/pr.2016.6885 pmid:28058104 pmcid:PMC5178846 fatcat:qjezpk3ad5dfbbd5xjp45c6nme